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General NPI Number Information
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NPI Number | 1770452203
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL BREAKTHROUGHS CONSULTING, LLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 4918 SHADOW DR
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City | VALDOSTA
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State | GA
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Zip | 31605-5743
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Country | US
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Telephone | 520-668-4351
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Fax | 520-668-4351
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Provider Business Mailing Address
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Address Line | 4918 SHADOW DR
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City | VALDOSTA
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State | GA
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Zip | 31605-5743
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Country | US
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Telephone | 520-668-4351
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Fax | 520-668-4351
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Authorized Official
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Title or Position | OWNER / BCBA
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Name | LINDSAY I MOLLISON
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Credential | M.S., BCBA, LBA
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Telephone | 520-668-4351
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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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