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General NPI Number Information
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NPI Number | 1518322577
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Entity Type | Organization
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Legal Business Name | BELIEVE AUTISM
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Dates
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Enumeration Date | 12/17/2015
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 31 W ADAMS ST APT 608
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City | JACKSONVILLE
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State | FL
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Zip | 32202-3631
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Country | US
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Telephone | 704-277-1884
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Fax | 904-289-2672
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Provider Business Mailing Address
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Address Line | 31 W ADAMS ST APT 608
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City | JACKSONVILLE
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State | FL
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Zip | 32202-3631
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Country | US
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Telephone | 704-277-1884
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Fax | 904-289-2672
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | CRYSTAL SHAREE THOMPSON
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Credential | BCBA
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Telephone | 704-277-1884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 1-14-15947
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License Number State | FL
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Taxonomy #3
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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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