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General NPI Number Information
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NPI Number | 1770462947
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Entity Type | Individual
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Provider Name | LAUREN T BECK RBT
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Gender | Female
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 103 BUFORD DAM RD
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City | CUMMING
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State | GA
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Zip | 30040-2638
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Country | US
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Telephone | 313-467-6423
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 BEECHWOOD PL UNIT 1624
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City | DAWSONVILLE
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State | GA
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Zip | 30534-8045
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Country | US
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Telephone | 678-361-3989
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-467544
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License Number State | GA
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