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General NPI Number Information
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NPI Number | 1871310714
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Entity Type | Organization
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Legal Business Name | ASCENT BEHAVIOR THERAPY CENTER LLC
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 5349 FLANDERS DR
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City | BATON ROUGE
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State | LA
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Zip | 70808-4349
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Country | US
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Telephone | 225-333-8303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14823
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City | BATON ROUGE
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State | LA
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Zip | 70898-4823
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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 | MEMBER-MANAGER
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Name | MRS. ALEXANDRA DUPRE
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Credential | BCBA
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Telephone | 225-333-8303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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