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General NPI Number Information
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NPI Number | 1538423355
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Entity Type | Individual
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Provider Name | ERICA HARREN M.S., BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 13529 DULLES AVE
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City | AUSTIN
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State | TX
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Zip | 78729-3766
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Country | US
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Telephone | 218-340-5920
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 170825
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City | AUSTIN
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State | TX
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Zip | 78717-0035
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Country | US
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Telephone | 218-340-5920
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1-13-13337
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License Number State |
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