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General NPI Number Information
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NPI Number | 1811380876
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Entity Type | Organization
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Legal Business Name | CAROLINA BEHAVIORAL SPECIALISTS, LLC
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Dates
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Enumeration Date | 03/13/2015
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 7600 OSLER DR STE 213
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City | TOWSON
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State | MD
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Zip | 21204-7701
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Country | US
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Telephone | 888-547-2250
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Fax | 843-396-6145
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Provider Business Mailing Address
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Address Line | 1527 SAM RITTENBERG BLVD STE 202
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City | CHARLESTON
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State | SC
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Zip | 29407-4189
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Country | US
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Telephone | 888-547-2250
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Fax | 843-396-6145
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Authorized Official
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Title or Position | CEO
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Name | JULIE LONG
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Credential | M.ED., BCBA
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Telephone | 888-547-2250
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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 | 1-14-15729
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License Number State | SC
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