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General NPI Number Information
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NPI Number | 1699017467
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Entity Type | Organization
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Legal Business Name | BEHAVIOR ANALYTIC SOLUTIONS LLC
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 3 COMMERCIAL PL
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City | SCHERTZ
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State | TX
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Zip | 78154-3102
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Country | US
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Telephone | 210-858-9062
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Fax | 210-566-3433
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Provider Business Mailing Address
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Address Line | 3 COMMERCIAL PL
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City | SCHERTZ
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State | TX
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Zip | 78154-3102
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Country | US
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Telephone | 210-858-9062
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Fax | 210-566-3433
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | TINA TSCHOEPE
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Credential |
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Telephone | 210-858-9062
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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 | 1-13-12975
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License Number State | TX
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