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General NPI Number Information
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NPI Number | 1902839277
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL INTERVENTIONS, TRAINING & EVALUATIONS, INC.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 2108 THOROUGHGOOD RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-4015
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Country | US
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Telephone | 757-416-5325
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 THOROUGHGOOD RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-4015
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Country | US
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Telephone | 757-416-5325
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. LISA B. SEDJAT
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Credential | L.C.S.W
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Telephone | 757-416-5325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0904002771
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License Number State | VA
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