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NPI 1588543177

NPI 1588543177 : A PLACE TO GROW LLC : LEXINGTON, SC

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General NPI Number Information
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    NPI Number           |    1588543177
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    Entity Type          |    Organization 
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    Legal Business Name  |    A PLACE TO GROW LLC 
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Dates
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    Enumeration Date     |    08/28/2025
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    Last Update Date     |    08/28/2025
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Provider Practice Location Address
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    Address Line         |    125 MILL GLEN DR 
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    City                 |    LEXINGTON
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    State                |    SC
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    Zip                  |    29072-4413
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    Country              |    US
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    Telephone            |    843-749-0025
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    125 MILL GLEN DR 
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    City                 |    LEXINGTON
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    State                |    SC
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    Zip                  |    29072-4413
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    Country              |    US
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    Telephone            |    843-749-0025
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KRISTI LYNN VANHORN 
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    Credential           |    MA, BCBA
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    Telephone            |    843-749-0025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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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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