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General NPI Number Information
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NPI Number | 1487549986
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Entity Type | Organization
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Legal Business Name | PHOENIX LEARNING CENTER
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 5340 MEADOW LANE CT
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City | SHEFFIELD VILLAGE
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State | OH
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Zip | 44035-1469
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Country | US
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Telephone | 440-666-9521
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Fax | 440-445-0581
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Provider Business Mailing Address
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Address Line | 6054 STONEY RIDGE RD
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-1215
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Country | US
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Telephone | 440-666-9521
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Fax | 440-445-0581
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Authorized Official
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Title or Position | FOUNDER
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Name | KATE YOUNG
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Credential | BCBA, COBA
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Telephone | 440-666-9521
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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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