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General NPI Number Information
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NPI Number | 1659555852
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Entity Type | Organization
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Legal Business Name | BEHAVIOR SERVICES & THERAPY, INC.
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 912 E LASALLE AVE
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City | SOUTH BEND
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State | IN
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Zip | 46617-2817
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Country | US
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Telephone | 574-231-8000
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Fax | 574-231-8013
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Provider Business Mailing Address
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Address Line | 912 E LASALLE AVE
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City | SOUTH BEND
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State | IN
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Zip | 46617-2817
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Country | US
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Telephone | 574-231-8000
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Fax | 574-231-8013
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ROBIN BUCHANAN
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Credential |
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Telephone | 574-231-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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