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General NPI Number Information
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NPI Number | 1609680594
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIONS BEHAVIORAL SOLUTIONS
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 227 HUNTERS MILL DR
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City | WEST COLUMBIA
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State | SC
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Zip | 29170-1288
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Country | US
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Telephone | 803-563-8303
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Fax |
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Provider Business Mailing Address
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Address Line | 227 HUNTERS MILL DR
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City | WEST COLUMBIA
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State | SC
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Zip | 29170-1288
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Country | US
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Telephone | 803-563-8303
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Fax |
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Authorized Official
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Title or Position | CEO & CLINICAL DIRECTOR
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Name | AUBRIELLE KITUUMA
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Credential | BCBA
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Telephone | 803-563-8303
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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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