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General NPI Number Information
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NPI Number | 1861350985
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Entity Type | Organization
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Legal Business Name | CULTIVATE EDUCATION CORPORATION
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1079 SPACE CENTER DR UNIT 140
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City | COLORADO SPRINGS
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State | CO
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Zip | 80915-3612
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Country | US
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Telephone | 855-444-5664
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Fax | 913-800-8196
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Provider Business Mailing Address
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Address Line | 1272 BOND ST STE 100
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City | NAPERVILLE
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State | IL
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Zip | 60563-3084
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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 | CFO
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Name | JUSTIN STUMP
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Credential |
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Telephone | 855-444-5664
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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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