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General NPI Number Information
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NPI Number | 1497310890
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Entity Type | Organization
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Legal Business Name | THE AUTISM CENTER FOR TREATMENT
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 2709 RAE DELL AVE
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City | AUSTIN
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State | TX
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Zip | 78704-4738
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Country | US
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Telephone | 512-704-3319
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Fax |
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Provider Business Mailing Address
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Address Line | 2709 RAE DELL AVE
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City | AUSTIN
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State | TX
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Zip | 78704-4738
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Country | US
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Telephone | 512-704-3319
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Fax |
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR/OWNER
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Name | JOSEPH BARNES HEWELL
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Credential | M.ED BCBA
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Telephone | 512-704-3319
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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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