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General NPI Number Information
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NPI Number | 1558634485
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Entity Type | Individual
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Provider Name | LISA RHEE CP, BCBA-D
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Gender | Female
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 4040 MCDERMOTT RD STE 100
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City | PLANO
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State | TX
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Zip | 75024-7735
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Country | US
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Telephone | 855-295-3276
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Fax | 888-588-2752
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Provider Business Mailing Address
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Address Line | 4700 IRVING BLVD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-4283
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Country | US
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Telephone | 505-569-7003
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Fax | 866-278-1501
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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 | 1-07-3856
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-2023-0005
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License Number State | NM
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