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General NPI Number Information
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NPI Number | 1427757889
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Entity Type | Organization
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Legal Business Name | PATTERNS OF BEHAVIOR LLC
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3820 W ADAMS AVE
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City | TEMPLE
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State | TX
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Zip | 76504-3539
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Country | US
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Telephone | 254-231-8849
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Fax | 254-831-5042
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Provider Business Mailing Address
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Address Line | 166 ARCHSTONE LOOP
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City | BELTON
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State | TX
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Zip | 76513-8289
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Country | US
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Telephone | 254-231-8849
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Fax | 254-831-5042
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Authorized Official
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Title or Position | COO
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Name | JERRY RYAN HILLIARD
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Credential | MBA.HM, BSN, RN
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Telephone | 254-231-8849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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