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General NPI Number Information
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NPI Number | 1851066880
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH FIELD, INC
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1401 GEORGIAN PARK STE 220
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6974
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Country | US
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Telephone | 877-438-1265
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Fax | 470-977-2737
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Provider Business Mailing Address
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Address Line | 1401 GEORGIAN PARK STE 220
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6974
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Country | US
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Telephone | 877-438-1265
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Fax | 470-977-2737
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | DAK GONZALEZ
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Credential |
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Telephone | 470-742-4638
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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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