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General NPI Number Information
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NPI Number | 1790935062
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Entity Type | Organization
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Legal Business Name | CONSULTING 4 CHILDREN ON THE SPECTRUM, LLC.
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 4865 HEDGCOXE ROAD SUITE 400
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City | PLANO
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State | TX
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Zip | 75024
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Country | US
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Telephone | 972-704-3829
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Fax | 972-346-8036
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Provider Business Mailing Address
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Address Line | 4865 HEDGCOXE ROAD SUITE 400
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City | PLANO
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State | TX
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Zip | 75024
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Country | US
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Telephone | 972-704-3829
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Fax | 972-346-8036
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Authorized Official
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Title or Position | OWNER/LICENSED & BOARD CERTIFIED BE
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Name | MRS. NIKKI WARQUINYA MOSES
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Credential | M.ED, LBA-BCBA
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Telephone | 972-704-3829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1-05-2618
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License Number State | TX
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