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General NPI Number Information
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NPI Number | 1457218463
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Entity Type | Organization
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Legal Business Name | THE BEHAVIOR PLACE
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 10545 COLERAIN RD
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City | KINGSLAND
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State | GA
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Zip | 31548
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Country | US
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Telephone | 912-266-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 18422 103RD AVE NE STE B
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City | BOTHELL
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State | WA
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Zip | 98011-3410
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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 | BEHAVIOR TECHNICIAN
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Name | MS. SERIE ANN COMPTON
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Credential |
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Telephone | 912-674-6723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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