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General NPI Number Information
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NPI Number | 1902362569
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL LEARNING CENTER - CO INC.
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 501 S CHERRY ST STE 1100
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City | DENVER
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State | CO
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Zip | 80246-1323
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Country | US
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Telephone | 720-450-6640
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Fax |
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Provider Business Mailing Address
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Address Line | 28245 AVENUE CROCKER STE 220
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City | VALENCIA
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State | CA
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Zip | 91355-1201
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Country | US
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Telephone | 661-254-7086
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE CLINICAL DIRECTOR/OWNER
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Name | DANIELLE SHEEHY
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Credential |
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Telephone | 818-308-6226
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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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