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General NPI Number Information
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NPI Number | 1922923697
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Entity Type | Organization
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Legal Business Name | ASTRA MO BHE LLC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 15620 MANCHESTER RD
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City | ELLISVILLE
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State | MO
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Zip | 63011-2279
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Country | US
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Telephone | 919-200-0240
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Fax | 919-375-6899
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Provider Business Mailing Address
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Address Line | 15620 MANCHESTER RD
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City | ELLISVILLE
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State | MO
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Zip | 63011-2279
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Country | US
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Telephone |
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Fax | 919-375-6899
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Authorized Official
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Title or Position | MANAGER
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Name | EITAN ADAMS
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Credential |
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Telephone | 919-200-0240
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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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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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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 |
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License Number State |
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