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General NPI Number Information
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NPI Number | 1447523048
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Entity Type | Organization
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Legal Business Name | ALEXANDRIA BEHAVIOR ANALYSIS, LLC
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 12/02/2012
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Provider Practice Location Address
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Address Line | 4920 BIRCH LN
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2109
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Country | US
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Telephone | 202-630-1484
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Fax |
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Provider Business Mailing Address
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Address Line | 4920 BIRCH LN
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2109
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Country | US
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Telephone | 202-630-1484
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. HEATHER SCHARRE
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Credential | M.A., BCBA
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Telephone | 202-630-1484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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