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General NPI Number Information
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NPI Number | 1841750098
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Entity Type | Organization
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Legal Business Name | LEARNING OUTSIDE THE LINES, LLC
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Dates
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Enumeration Date | 03/23/2019
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 164 ALYMER CT
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City | WESTMINSTER
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State | MD
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Zip | 21157-6361
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Country | US
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Telephone | 443-203-9707
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Fax | 877-940-2717
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Provider Business Mailing Address
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Address Line | 164 ALYMER CT
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City | WESTMINSTER
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State | MD
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Zip | 21157-6361
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Country | US
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Telephone | 443-203-9707
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Fax | 877-940-2717
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Authorized Official
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Title or Position | CEO/BEHAVIOR ANALYST
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Name | JOSSELYN ENSOR
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Credential | MS ED, BCBA, LBA
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Telephone | 443-203-9707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #7
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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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