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General NPI Number Information
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NPI Number | 1841008463
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Entity Type | Individual
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Provider Name | HALIE BROWN MS, BCBA
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Gender |
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Dates
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Enumeration Date | 12/28/2024
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 101 W NORTHSIDE DR BLDG F
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City | VALDOSTA
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State | GA
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Zip | 31602-1753
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Country | US
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Telephone | 229-474-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 WILLIAMS ST APT B
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City | VALDOSTA
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State | GA
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Zip | 31602-2601
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Country | US
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Telephone |
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Fax |
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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 |
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License Number State |
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