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General NPI Number Information
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NPI Number | 1518452119
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Entity Type | Organization
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Legal Business Name | AZ BEHAVIOR STRATEGIES
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 16430 E ASHBROOK DR
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-2899
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Country | US
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Telephone | 480-375-0478
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Fax |
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Provider Business Mailing Address
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Address Line | 16430 E ASHBROOK DR
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-2899
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Country | US
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Telephone | 480-375-0478
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | TARA KIENER
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Credential | LBA, BCBA
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Telephone | 480-375-0478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional 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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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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 | AZ
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