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General NPI Number Information
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NPI Number | 1730601485
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Entity Type | Individual
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Provider Name | ASHLEE BEA MS, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 310 W CENTRAL TEXAS EXPY STE 1
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City | KILLEEN
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State | TX
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Zip | 76541-2573
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Country | US
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Telephone | 254-432-7041
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Fax |
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Provider Business Mailing Address
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Address Line | 28 RELA AVE
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City | HAVERSTRAW
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State | NY
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Zip | 10927-1038
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Country | US
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Telephone | 717-226-9670
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Fax |
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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 | 4005
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-17-36876
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License Number State | HI
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