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General NPI Number Information
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NPI Number | 1427794759
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Entity Type | Individual
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Provider Name | KELSIE LYNN KENT M.ED., BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 15851 DALLAS PKWY STE 1150
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City | ADDISON
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State | TX
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Zip | 75001-3325
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Country | US
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Telephone | 855-782-7822
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Fax |
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Provider Business Mailing Address
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Address Line | 7110 FM 78 # 102104
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City | SAN ANTONIO
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State | TX
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Zip | 78244-1763
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Country | US
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Telephone | 210-874-2219
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9258
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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