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General NPI Number Information
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NPI Number | 1770033730
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Entity Type | Organization
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Legal Business Name | ALL CHILDREN CAN LEARN LLC
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 211 E OAK ST APT 8
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City | DENTON
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State | TX
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Zip | 76201-4236
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Country | US
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Telephone | 228-623-5454
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Fax | 888-977-2153
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Provider Business Mailing Address
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Address Line | 211 E OAK ST APT 8
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City | DENTON
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State | TX
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Zip | 76201-4236
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Country | US
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Telephone | 228-623-5454
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Fax | 888-977-2153
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Authorized Official
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Title or Position | BCBA OWNER
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Name | JESSICA BROOME
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Credential | MS BCBA
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Telephone | 228-623-5454
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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 | 1096490
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License Number State | TX
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