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General NPI Number Information
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NPI Number | 1598359069
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Entity Type | Organization
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Legal Business Name | TRENDLINE ABA, LLC
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 8922 QUEEN HEIGHTS
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City | SAN ANTONIO
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State | TX
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Zip | 78254
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Country | US
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Telephone | 210-419-5773
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Fax |
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Provider Business Mailing Address
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Address Line | 8922 QUEEN HEIGHTS
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City | SAN ANTONIO
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State | TX
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Zip | 78254
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Country | US
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Telephone | 210-419-5773
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | DR. BRYANT SILBAUGH
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Credential | PH.D., BCBA, LBA
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Telephone | 210-729-5829
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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