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General NPI Number Information
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NPI Number | 1629377965
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Entity Type | Individual
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Provider Name | SHAWN E HAPPE MS BCBA
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Gender | Male
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 4502 CENTERVIEW SUITE 215
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1318
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Country | US
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Telephone | 210-733-7440
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Fax | 210-733-7570
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Provider Business Mailing Address
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Address Line | 4615 GARDENDALE ST APARTMENT 506
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City | SAN ANTONIO
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State | TX
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Zip | 78240-4200
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Country | US
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Telephone | 901-896-5252
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1-05-2258
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License Number State | FL
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