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General NPI Number Information
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NPI Number | 1801428578
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Entity Type | Organization
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Legal Business Name | EVERYTHING ABA BEHAVIOR SUPPORT & CONSULTING
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 754 FRENCH RIVER RD
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City | NOLENSVILLE
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State | TN
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Zip | 37135-9636
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Country | US
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Telephone | 615-631-8008
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Fax | 615-503-8411
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Provider Business Mailing Address
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Address Line | 625 BAKERS BRIDGE AVE STE 105-21
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City | FRANKLIN
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State | TN
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Zip | 37067-1613
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Country | US
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Telephone | 615-631-8008
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Fax | 615-503-8411
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Authorized Official
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Title or Position | OWNER
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Name | LORETTA ANNETTE MUCHUKOT
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Credential | BCBA, LBA
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Telephone | 615-631-8008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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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