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General NPI Number Information
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NPI Number | 1831902022
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Entity Type | Organization
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Legal Business Name | BEHAVIOR TALKS LLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1844 CREE RD
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City | FREMONT
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State | MI
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Zip | 49412-8729
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Country | US
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Telephone | 231-245-7816
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 92
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City | FREMONT
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State | MI
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Zip | 49412-0092
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Country | US
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Telephone | 231-245-7816
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMERY GENE KOETJE
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Credential |
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Telephone | 231-245-7816
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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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