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General NPI Number Information
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NPI Number | 1487261244
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Entity Type | Individual
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Provider Name | RACHEL STOLZENBERG BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 2500 W WILLIAM CANNON DR # 704
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City | AUSTIN
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State | TX
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Zip | 78745-5257
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Country | US
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Telephone | 914-582-8527
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 SAN MARCOS ST UNIT 313
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City | AUSTIN
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State | TX
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Zip | 78702-2667
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Country | US
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Telephone | 914-582-8527
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | RBT-17-35028
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 4893
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License Number State | TX
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