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General NPI Number Information
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NPI Number | 1881461754
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Entity Type | Individual
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Provider Name | MRS. HALEY ELIZABETH GACCETTA
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Gender | Female
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 12201 BEAR PLZ
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City | BURLESON
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State | TX
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Zip | 76028-0285
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Country | US
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Telephone | 817-562-0901
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 BEE CAVES RD BLDG 2-100
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City | AUSTIN
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State | TX
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Zip | 78746-5842
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Country | US
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Telephone | 512-508-3941
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1-25-85487
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License Number State | TX
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