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General NPI Number Information
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NPI Number | 1700411642
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL FOCUS
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 749 GATEWAY STE F-702
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City | ABILENE
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State | TX
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Zip | 79602-1196
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Country | US
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Telephone | 325-530-4089
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Fax | 866-373-8243
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Provider Business Mailing Address
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Address Line | 3101 APPIAN WAY
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City | SPRING HILL
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State | TN
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Zip | 37174-6206
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Country | US
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Telephone | 903-818-5979
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Fax | 866-373-8243
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. TRUBE CASSANDRA MILL CASSANDRA MILLER
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Credential | PHD, BCBA, LBA
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Telephone | 903-818-5979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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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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