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General NPI Number Information
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NPI Number | 1801420898
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Entity Type | Individual
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Provider Name | RIA THERESA ARCHIBALD BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 5829 CAMPBELLTON RD SW STE 104
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City | ATLANTA
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State | GA
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Zip | 30331-8036
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Country | US
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Telephone | 770-940-0237
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Fax | 877-940-3221
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Provider Business Mailing Address
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Address Line | 5829 CAMPBELLTON RD SW STE 104
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City | ATLANTA
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State | GA
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Zip | 30331-8036
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Country | US
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Telephone | 770-940-0237
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Fax | 877-940-3221
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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 | 1-19-39742
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License Number State | GA
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