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NPI 1770283707

NPI 1770283707 : MIGHTY KIDZ SERVICES LLC. : COLUMBIA, SC

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General NPI Number Information
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    NPI Number           |    1770283707
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    Entity Type          |    Organization 
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    Legal Business Name  |    MIGHTY KIDZ SERVICES LLC. 
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Dates
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    Enumeration Date     |    03/08/2023
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    8 SCIENCE CT 
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    City                 |    COLUMBIA
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    State                |    SC
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    Zip                  |    29203-9344
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    Country              |    US
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    Telephone            |    803-888-6132
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    Fax                  |    803-784-8675
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Provider Business Mailing Address
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    Address Line         |    514 STERLING PONDS DR 
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    City                 |    BLYTHEWOOD
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    State                |    SC
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    Zip                  |    29016-9698
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    Country              |    US
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    Telephone            |    803-866-5439
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LINDSAY TAYLOR SCHMELZEL 
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    Credential           |    BCBA
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    Telephone            |    803-866-5439
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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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