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General NPI Number Information
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NPI Number | 1881551646
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Entity Type | Organization
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Legal Business Name | LITTLE BRIDGE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 705 SARAZEN CT
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City | CIBOLO
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State | TX
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Zip | 78108-4333
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Country | US
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Telephone | 210-293-7977
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 210-293-7977
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JULIA MARIE CONN
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Credential | MA, BCBA, LBA
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Telephone | 616-375-3231
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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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