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General NPI Number Information
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NPI Number | 1720606957
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Entity Type | Organization
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Legal Business Name | EVIDENCE BASED CLASSROOM SOLUTIONS
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 1949 THOMSON DR
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City | LYNCHBURG
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State | VA
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Zip | 24501-1030
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Country | US
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Telephone | 434-610-7087
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Fax | 434-266-0583
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Provider Business Mailing Address
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Address Line | 1949 THOMSON DR
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City | LYNCHBURG
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State | VA
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Zip | 24501-1030
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Country | US
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Telephone | 434-610-7087
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR ANALYST, OWNER
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Name | MR. CHAD HONEYCUTT
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Credential | M.ED, BCBA, LBA
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Telephone | 434-610-7087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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