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General NPI Number Information
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NPI Number | 1902152952
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Entity Type | Organization
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Legal Business Name | HOPE 4 AUTISM, LLC
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 641 HIGHWAY 71 N SUITE 5
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City | ALMA
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State | AR
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Zip | 72921-5107
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Country | US
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Telephone | 580-748-2018
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Fax |
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Provider Business Mailing Address
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Address Line | 641 HIGHWAY 71 N SUITE 5
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City | ALMA
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State | AR
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Zip | 72921-5107
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Country | US
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Telephone | 580-748-2018
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE CLINICAL DIRECTOR
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Name | DR. SHEILA KAYE BARNES
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Credential | PH.D.
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Telephone | 580-748-2018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 1-12-11455
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1-12-11455
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License Number State | AR
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