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General NPI Number Information
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NPI Number | 1811495252
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Entity Type | Individual
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Provider Name | HEATHER ELIZABETH GOTCHER M.ED.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 4504 LEGACY DR STE 100
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City | PLANO
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State | TX
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Zip | 75024-2182
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Country | US
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Telephone | 720-439-7878
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Fax | 303-984-4366
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Provider Business Mailing Address
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Address Line | 390 UNION BLVD STE 300
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City | LAKEWOOD
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State | CO
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Zip | 80228-6514
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Country | US
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Telephone | 720-439-7878
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Fax | 303-984-4366
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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 | 1962
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11830400
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License Number State | TX
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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 | 1-18-30400
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License Number State | TX
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