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General NPI Number Information
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NPI Number | 1750193827
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Entity Type | Organization
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Legal Business Name | CLEVER CONNECTIONS LLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 25604 STATE HIGHWAY 112
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City | CAMERON
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State | OK
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Zip | 74932-2612
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Country | US
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Telephone | 479-252-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 808 SKYVIEW DR
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City | GREENWOOD
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State | AR
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Zip | 72936-8274
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Country | US
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Telephone | 479-252-0707
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Fax |
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Authorized Official
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Title or Position | OWNER, FOUNDER, CEO
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Name | MANDY JOHNSON
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Credential | BCBA
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Telephone | 479-252-0707
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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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