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General NPI Number Information
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NPI Number | 1437823010
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Entity Type | Organization
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Legal Business Name | THE PUZZLE BOX LLC
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7745 PROSPERITY RIVER AVE
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City | LAS VEGAS
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State | NV
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Zip | 89129-2724
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Country | US
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Telephone | 385-466-9321
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Fax |
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Provider Business Mailing Address
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Address Line | 7121 W CRAIG RD STE 113
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City | LAS VEGAS
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State | NV
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Zip | 89129-6023
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Country | US
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Telephone | 385-466-9321
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE
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Name | BLANKA WILLIAMS
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Credential |
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Telephone | 801-687-2177
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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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