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General NPI Number Information
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NPI Number | 1891586483
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Entity Type | Organization
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Legal Business Name | MULTI SPECTRUM ABA LLC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 449 W BROADVIEW DR
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City | SAN ANTONIO
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State | TX
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Zip | 78228-3716
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Country | US
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Telephone | 210-764-4898
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Fax |
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Provider Business Mailing Address
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Address Line | 442 MCNEEL RD
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City | SAN ANTONIO
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State | TX
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Zip | 78228-2540
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Country | US
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Telephone | 702-563-7773
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PATRICIA RIEDE
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Credential |
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Telephone | 702-563-7773
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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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