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General NPI Number Information
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NPI Number | 1467071613
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Entity Type | Organization
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Legal Business Name | BEHAVIOR ESSENTIALS, LLC
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 353 E BONNEVILLE AVE UNIT 457
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City | LAS VEGAS
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State | NV
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Zip | 89101-6656
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Country | US
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Telephone | 702-325-0382
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Fax |
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Provider Business Mailing Address
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Address Line | 353 E BONNEVILLE AVE UNIT 457
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City | LAS VEGAS
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State | NV
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Zip | 89101-6656
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Country | US
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Telephone | 702-325-0382
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICAL DIRECTOR
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Name | MS. CASEY LYNN HAYDEN
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Credential | MA, BCBA, LBA
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Telephone | 702-325-0382
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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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