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General NPI Number Information
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NPI Number | 1659804672
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Entity Type | Individual
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Provider Name | STEPHANIE NELSON BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 01/10/2020
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Provider Practice Location Address
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Address Line | 6607 S RICE AVE
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 818-107-7442
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Fax |
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Provider Business Mailing Address
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Address Line | 6607 S RICE AVE
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 281-810-7744
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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 | 3161
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License Number State | TX
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