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General NPI Number Information
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NPI Number | 1710643861
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Entity Type | Organization
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Legal Business Name | AUTISM FAMILY SERVICES OF BEAUMONT LLC
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Dates
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Enumeration Date | 11/12/2021
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 6642 PHELAN BLVD
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City | BEAUMONT
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State | TX
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Zip | 77706-5966
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Country | US
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Telephone | 409-893-7993
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Fax | 409-299-9551
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Provider Business Mailing Address
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Address Line | 6642 PHELAN BLVD
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City | BEAUMONT
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State | TX
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Zip | 77706-5966
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Country | US
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Telephone | 409-242-1559
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Fax | 409-242-1558
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | JENNIFER LYN RAMIREZ
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Credential | LBA, LPC
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Telephone | 409-242-1559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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Taxonomy #5
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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Taxonomy #8
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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Taxonomy #9
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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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