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General NPI Number Information
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NPI Number | 1679994016
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Entity Type | Organization
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Legal Business Name | BEHAVIOR GURU LLC
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 29226 ORCHARD LAKE RD STE 100
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3046
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Country | US
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Telephone | 866-960-9898
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Fax | 866-960-9724
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Provider Business Mailing Address
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Address Line | 29226 ORCHARD LAKE RD STE 100
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3046
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Country | US
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Telephone | 866-960-9898
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Fax | 866-960-9724
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Authorized Official
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Title or Position | CEO
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Name | MINDY ROTHSTEIN
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Credential |
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Telephone | 866-960-9898
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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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