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General NPI Number Information
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NPI Number | 1508765462
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Entity Type | Organization
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Legal Business Name | APOLLO BEHAVIOR SOUTH CAROLINA LLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 5050 RESEARCH CT STE 125
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City | SUWANEE
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State | GA
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Zip | 30024-5573
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Country | US
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Telephone | 404-410-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 5050 RESEARCH CT STE 125
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City | SUWANEE
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State | GA
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Zip | 30024-5573
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Country | US
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Telephone | 404-410-7600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KIM DEAN
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Credential |
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Telephone | 404-410-7600
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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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