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General NPI Number Information
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NPI Number | 1922925189
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Entity Type | Organization
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Legal Business Name | PETALS BEHAVIOR ANALYSIS SERVICES, LLC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 1831 EASTCHESTER DR
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City | HIGH POINT
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State | NC
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Zip | 27265-1402
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Country | US
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Telephone | 225-436-6671
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Fax | 336-805-6094
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Provider Business Mailing Address
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Address Line | 3902 HUNT CHASE CT
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City | GREENSBORO
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State | NC
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Zip | 27407-5479
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Country | US
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Telephone | 225-436-6671
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Fax | 336-805-6094
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Authorized Official
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Title or Position | OWNER
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Name | LAYLA LYNNE TAYLOR
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Credential | BCBA
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Telephone | 225-436-6671
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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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