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General NPI Number Information
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NPI Number | 1699631671
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Entity Type | Organization
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Legal Business Name | NEUROBEHAVIOR SOLUTIONS
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 2901 HILLCROFT LN
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City | CASTLE ROCK
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State | CO
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Zip | 80104-8106
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Country | US
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Telephone | 720-659-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 HILLCROFT LN
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City | CASTLE ROCK
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State | CO
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Zip | 80104-8106
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Country | US
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Telephone | 720-659-0656
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Fax |
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Authorized Official
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Title or Position | OWNER / PSYCHOLOGIST
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Name | NICOLE MARIE WALLACE
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Credential | PHD
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Telephone | 720-659-0656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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