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General NPI Number Information
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NPI Number | 1689370330
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Entity Type | Organization
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Legal Business Name | HAVERN SCHOOL
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 4000 S WADSWORTH BLVD
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City | LITTLETON
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State | CO
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Zip | 80123-1353
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Country | US
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Telephone | 303-986-4587
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 S WADSWORTH BLVD
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City | LITTLETON
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State | CO
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Zip | 80123-1353
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Country | US
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Telephone | 303-986-4587
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HAVERN AUTISM PROGRAM
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Name | MRS. ROBYN LEDEBUHR
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Credential | BCBA
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Telephone | 303-986-4587
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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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