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General NPI Number Information
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NPI Number | 1437011038
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Entity Type | Organization
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Legal Business Name | CONTINUING BEHAVIOR SUPPORT TX
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 834 SW 306TH ST
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City | FEDERAL WAY
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State | WA
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Zip | 98023
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Country | US
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Telephone | 253-250-5034
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEHLIA CONNOLLY
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Credential | BCBA
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Telephone | 206-797-5116
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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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