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General NPI Number Information
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NPI Number | 1760162549
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Entity Type | Organization
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Legal Business Name | ATLAS BEHAVIORAL SERVICES & CONSULTING LLC
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 1840 PYRAMID PL STE 380
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City | MEMPHIS
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State | TN
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Zip | 38132-1703
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Country | US
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Telephone | 901-281-3848
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Fax |
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Provider Business Mailing Address
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Address Line | 3179 RHINE LN
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City | MEMPHIS
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State | TN
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Zip | 38119-8954
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Country | US
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Telephone | 901-281-3848
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NICHOLE CRANE
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Credential | LBA
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Telephone | 901-218-1539
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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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