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General NPI Number Information
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NPI Number | 1922336924
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Entity Type | Organization
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Legal Business Name | BEHAVIOR ANALYSTS OF TEXAS, LLC
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 800 W WOODLAWN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215-2472
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Country | US
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Telephone | 502-409-7181
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Fax | 888-450-0935
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Provider Business Mailing Address
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Address Line | 800 W WOODLAWN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215-2472
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Country | US
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Telephone | 502-409-7181
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Fax | 888-450-0935
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JASON NEEL SIMMONS
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Credential | MS, BCBA, LBA
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Telephone | 210-865-7734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | KY-0031
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1-02-0855
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License Number State | KY
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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 | 1-02-0855
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | KY-0031
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | KY-0031
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License Number State | KY
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