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General NPI Number Information
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NPI Number | 1912548843
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Entity Type | Individual
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Provider Name | AMANDA N LAFRENZ MA, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 23 HOSPITAL DR STE 102
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City | ABILENE
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State | TX
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Zip | 79606-5270
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Country | US
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Telephone | 325-238-9337
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Fax |
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Provider Business Mailing Address
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Address Line | 3 GREENTHREAD ST
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City | ABILENE
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State | TX
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Zip | 79606-5419
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Country | US
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Telephone | 956-371-3481
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | BACB528513
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License Number State | TX
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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 | 1-21-56107
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License Number State |
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