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General NPI Number Information
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NPI Number | 1841970837
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Entity Type | Organization
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Legal Business Name | BEHAVIOR BUDDIES LLC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 27453 S LAZY MEADOW WAY
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City | SPRING
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State | TX
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Zip | 77386-4161
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Country | US
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Telephone | 832-495-5338
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Fax |
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Provider Business Mailing Address
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Address Line | 3431 RAYFORD RD STE 200-557
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City | SPRING
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State | TX
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Zip | 77386-4943
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Country | US
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Telephone | 832-495-5338
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNIFER ALLEN
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Credential | BCBA, LBA
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Telephone | 832-495-5338
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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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