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NPI 1790225126

NPI 1790225126 : SPRINGLING THERAPY : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1790225126
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPRINGLING THERAPY 
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Dates
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    Enumeration Date     |    03/04/2017
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    Last Update Date     |    03/04/2017
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Provider Practice Location Address
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    Address Line         |    5104 SEALANDS LN 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76116-8416
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    Country              |    US
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    Telephone            |    682-478-5992
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5104 SEALANDS LN 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76116-8416
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    Country              |    US
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    Telephone            |    817-829-4188
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    Fax                  |    
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Authorized Official
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    Title or Position    |    BEHAVIOR ANALYST
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    Name                 |     CARRIE HAYCRAFT GREER 
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    Credential           |    MS, BCBA
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    Telephone            |    682-478-5992
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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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