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General NPI Number Information
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NPI Number | 1538948161
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Entity Type | Organization
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Legal Business Name | JCZ CONSULTING LLC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 1169 N BURLESON BLVD STE 256
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City | BURLESON
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State | TX
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Zip | 76028-7011
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Country | US
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Telephone | 512-718-5628
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Fax |
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Provider Business Mailing Address
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Address Line | 1169 N BURLESON BLVD STE 256
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City | BURLESON
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State | TX
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Zip | 76028-7011
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | SUMMER HERRERA
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Credential |
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Telephone | 682-310-6055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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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 | 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 #3
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 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 #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #7
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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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