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General NPI Number Information
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NPI Number | 1447859236
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Entity Type | Organization
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Legal Business Name | ALL STAR AUTISM SERVICES LLC
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 4000 W 68TH ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-2103
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Country | US
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Telephone | 913-284-9009
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Fax | 913-712-9735
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Provider Business Mailing Address
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Address Line | 4000 W 68TH ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-2103
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Country | US
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Telephone |
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Fax | 913-712-9735
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN HARDEN
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Credential | BCBA
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Telephone | 913-284-9009
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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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