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General NPI Number Information
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NPI Number | 1932694080
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Entity Type | Individual
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Provider Name | CHERYL DURGIN BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 3800 TRIMMIER RD
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City | KILLEEN
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State | TX
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Zip | 76542-2650
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Country | US
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Telephone | 419-618-1135
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 360
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City | KILLEEN
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State | TX
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Zip | 76540-0360
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Country | US
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Telephone | 254-317-5603
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-18-30320
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License Number State | TX
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