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General NPI Number Information
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NPI Number | 1760080030
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Entity Type | Individual
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Provider Name | STEPHANIE N HUSTON BS, BCABA
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Gender | Female
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 6399 FISHTRAP RD
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City | DENTON
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State | TX
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Zip | 76208-1607
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Country | US
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Telephone | 214-608-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 603 EAGLE DR APT 26
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City | DENTON
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State | TX
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Zip | 76201-6747
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Country | US
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Telephone | 512-986-0078
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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 | 3636
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License Number State | TX
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