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General NPI Number Information
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NPI Number | 1881522126
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Entity Type | Organization
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Legal Business Name | CHILDRENS BEHAVIORAL CENTERS LLP
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 17 S CENTRAL AVE
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City | IDABEL
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State | OK
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Zip | 74745-4625
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Country | US
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Telephone | 580-353-9726
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Fax | 580-271-6790
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Provider Business Mailing Address
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Address Line | 17 S CENTRAL AVE
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City | IDABEL
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State | OK
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Zip | 74745-4625
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Country | US
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Telephone | 580-353-9726
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Fax | 580-271-6790
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Authorized Official
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Title or Position | PARTNER
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Name | CORBIN GABREAL PATE
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Credential |
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Telephone | 580-317-3613
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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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