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NPI 1487322632

NPI 1487322632 : HIDDEN TALENTS ABA TX : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1487322632
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    Entity Type          |    Organization 
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    Legal Business Name  |    HIDDEN TALENTS ABA TX 
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Dates
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    Enumeration Date     |    09/02/2021
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    Last Update Date     |    01/03/2024
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Provider Practice Location Address
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    Address Line         |    7707 APACHE PLUME DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77071-2600
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    Country              |    US
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    Telephone            |    44-876-0054
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7707 APACHE PLUME DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77071-2600
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    Country              |    US
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    Telephone            |    44-876-0054
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     EZRIEL  NEUMANN 
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    Credential           |    
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    Telephone            |    404-487-6005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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