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General NPI Number Information
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NPI Number | 1891430542
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Entity Type | Organization
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Legal Business Name | HAND IN HAND BEHAVIORAL THERAPY LLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 32 TOWN SQUARE CIR APT 404
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City | STAFFORD
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State | VA
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Zip | 22554-1811
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Country | US
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Telephone | 540-840-8722
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Fax |
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Provider Business Mailing Address
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Address Line | 32 TOWN SQUARE CIR APT 404
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City | STAFFORD
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State | VA
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Zip | 22554-1811
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Country | US
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Telephone | 540-840-8722
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAWAH JALLOH
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Credential |
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Telephone | 540-840-8722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 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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