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General NPI Number Information
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NPI Number | 1447149414
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Entity Type | Organization
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Legal Business Name | VICTORIA AUTISM AND BEHAVIOR ASSOCIATES LLC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 401 BANBURY LN
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City | VICTORIA
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State | TX
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Zip | 77904-2237
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Country | US
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Telephone | 361-652-0382
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3305
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City | VICTORIA
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State | TX
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Zip | 77903-3305
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Country | US
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Telephone | 361-652-0382
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANALYST
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Name | GREGG STANSBURY EPLEY
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Credential | BCBA
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Telephone | 361-652-0382
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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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