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General NPI Number Information
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NPI Number | 1710272901
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Entity Type | Organization
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Legal Business Name | NEXT STEP FEEDING AND BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 1284 DOWNING ST # 201
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City | DENVER
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State | CO
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Zip | 80218-2179
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Country | US
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Telephone | 505-507-7607
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Fax |
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Provider Business Mailing Address
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Address Line | 1284 DOWNING ST # 201
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City | DENVER
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State | CO
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Zip | 80218-2179
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Country | US
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Telephone | 505-507-7607
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | MRS. NISSA GOLDBERG BATES
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Credential | BCBA
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Telephone | 505-507-7607
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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 | CO
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