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General NPI Number Information
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NPI Number | 1730473117
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Entity Type | Organization
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Legal Business Name | CHILDHOOD AUTISM SERVICES INC
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 9412 GILES RD STE 101
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City | LA VISTA
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State | NE
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Zip | 68128-3017
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Country | US
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Telephone | 402-916-4539
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 DANA LN
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City | PAPILLION
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State | NE
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Zip | 68133-2339
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Country | US
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Telephone | 402-680-3088
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Fax | 402-881-8383
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | THERESA NEWTON
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Credential |
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Telephone | 402-916-4539
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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 |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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