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General NPI Number Information
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NPI Number | 1538957493
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Entity Type | Organization
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Legal Business Name | ALL EARS AUTISM SERVICES, LLC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3641 ACORN DR
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City | PLANO
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State | TX
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Zip | 75074-0162
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Country | US
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Telephone | 972-896-5083
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Fax | 972-696-0799
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Provider Business Mailing Address
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Address Line | 3641 ACORN DR
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City | PLANO
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State | TX
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Zip | 75074-0162
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Country | US
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Telephone | 972-896-5083
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Fax | 972-696-0799
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Authorized Official
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Title or Position | OWNER, CEO
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Name | MS. KIMBERLY BETH GORHAM
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Credential | BCBA, LBA
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Telephone | 972-896-5083
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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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