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General NPI Number Information
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NPI Number | 1750923231
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Entity Type | Individual
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Provider Name | CATHERINE MARY GARZA BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 2205 S BAGDAD ROAD
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City | LEANDER
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State | TX
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Zip | 78641
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Country | US
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Telephone | 512-986-7625
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Fax | 281-254-7897
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Provider Business Mailing Address
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Address Line | 2800 E WHITESTONE BLVD STE 120
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City | CEDAR PARK
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State | TX
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Zip | 78613-7275
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Country | US
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Telephone | 512-986-7625
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Fax | 281-254-7897
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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 | 1-19-38430
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License Number State |
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