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General NPI Number Information
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NPI Number | 1932767886
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Entity Type | Organization
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Legal Business Name | LINX AUTISM SERVICES
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 490 SHREWSBURY ST LOWR LEVEL
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City | WORCESTER
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State | MA
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Zip | 01604-1607
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Country | US
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Telephone | 508-926-8777
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Fax | 508-463-4132
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Provider Business Mailing Address
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Address Line | 490 SHREWSBURY ST LOWR LEVEL
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City | WORCESTER
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State | MA
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Zip | 01604-1607
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Country | US
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Telephone | 85-926-8777
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Fax | 85-463-4132
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | KIANNA MINOTT
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Credential |
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Telephone | 508-926-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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