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General NPI Number Information
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NPI Number | 1801690540
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Entity Type | Organization
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Legal Business Name | LIVELY LEARNERS THERAPY LLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL STE N
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 404-470-2440
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Fax | 855-975-2949
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Provider Business Mailing Address
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Address Line | 8735 DUNWOODY PL STE N
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 404-470-2440
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Fax | 855-975-2949
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Authorized Official
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Title or Position | CEO
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Name | KIMBERLY FINGER
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Credential | PH.D.
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Telephone | 404-470-2440
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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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