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General NPI Number Information
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NPI Number | 1891667945
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Entity Type | Organization
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Legal Business Name | BEYOND THE LABEL
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 495 LAKES EDGE DR
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City | OXFORD
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State | MI
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Zip | 48371-5226
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Country | US
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Telephone | 586-913-5024
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Fax |
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Provider Business Mailing Address
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Address Line | 495 LAKES EDGE DR
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City | OXFORD
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State | MI
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Zip | 48371-5226
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACQULEYN LANGSTON
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Credential |
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Telephone | 586-913-5024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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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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