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General NPI Number Information
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NPI Number | 1710639158
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Entity Type | Individual
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Provider Name | ALLISON FAITH BCBA,LBA
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Gender | Female
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1400 N WASHINGTON AVE
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City | LIVINGSTON
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State | TX
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Zip | 77351-2342
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Country | US
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Telephone | 936-441-2200
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Fax | 936-570-9088
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Provider Business Mailing Address
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Address Line | PO BOX 1139
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City | LIVINGSTON
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State | TX
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Zip | 77351-0019
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Country | US
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Telephone | 364-412-2009
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Fax | 936-570-9088
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4800
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License Number State | TX
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