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General NPI Number Information
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NPI Number | 1528336872
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL INNOVATION AND GUIDANCE
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 1213 IAN CT
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City | SPARKS
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State | NV
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Zip | 89434-6707
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Country | US
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Telephone | 775-240-4016
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Fax |
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Provider Business Mailing Address
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Address Line | 1213 IAN CT
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City | SPARKS
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State | NV
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Zip | 89434-6707
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Country | US
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Telephone | 775-240-4016
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Fax |
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | DR. CHRISTINA ANN LYDON
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Credential | M.A., B.C.B.A.
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Telephone | 775-240-4016
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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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