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General NPI Number Information
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NPI Number | 1780406082
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Entity Type | Individual
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Provider Name | SHANNON HAYES BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1601 E PFLUGERVILLE PKWY BLDG 3, SUITE 3102
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City | PFLUGERVILLE
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State | TX
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Zip | 78660
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Country | US
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Telephone | 512-540-5411
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Fax |
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Provider Business Mailing Address
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Address Line | 9701 SPECTRUM DRIVE APT 13309
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City | AUSTIN
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State | TX
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Zip | 78717
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Country | US
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Telephone | 978-998-0771
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 7539
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License Number State | TX
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