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General NPI Number Information
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NPI Number | 1609220847
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Entity Type | Organization
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Legal Business Name | RESULTS BEHAVIOR, LLC
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 4105A NEBRASKA AVE
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City | NASHVILLE
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State | TN
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Zip | 37209-4753
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Country | US
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Telephone | 931-252-0063
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 128007
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City | NASHVILLE
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State | TN
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Zip | 37212-8007
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Country | US
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Telephone | 931-252-0063
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTICIONER
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Name | LESLIE SMITH
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Credential | BCBA
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Telephone | 931-252-0063
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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 | 11519164
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License Number State | TN
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