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General NPI Number Information
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NPI Number | 1619652203
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Entity Type | Organization
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Legal Business Name | ROLYN BEHAVIORAL CONSULTING SERVICES LLC
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 315 VALLEY RD
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City | COVINGTON
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State | GA
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Zip | 30016-7299
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Country | US
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Telephone | 601-297-7387
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Fax | 678-605-9980
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Provider Business Mailing Address
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Address Line | 315 VALLEY RD
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City | COVINGTON
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State | GA
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Zip | 30016-7299
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Country | US
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Telephone | 601-297-7387
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Fax | 678-605-9980
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Authorized Official
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Title or Position | BCBA/OWNER
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Name | COURTNEY LYNN ROSE JAMES
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Credential | BCBA
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Telephone | 601-297-7387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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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