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General NPI Number Information
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NPI Number | 1629631726
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Entity Type | Organization
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Legal Business Name | NATURAL BRIDGES BEHAVIOR SERVICES, LLC
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 2025 WOODMONT BLVD APT 117
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City | NASHVILLE
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State | TN
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Zip | 37215-1563
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Country | US
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Telephone | 615-830-6491
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 WOODMONT BLVD APT 117
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City | NASHVILLE
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State | TN
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Zip | 37215-1563
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Country | US
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Telephone | 615-830-6491
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Fax |
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Authorized Official
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Title or Position | OWNER, BEHAVIOR ANALYST
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Name | MS. ANNA KIMBERLY CANTRELL
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Credential | BCBA
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Telephone | 615-830-6491
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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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