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General NPI Number Information
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NPI Number | 1942833942
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Entity Type | Organization
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Legal Business Name | MOUA AUTISM SERVICES, LLC
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 530 PLAZA DR APT 104
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City | MADISON
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State | WI
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Zip | 53719-3853
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Country | US
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Telephone | 608-422-3575
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Fax |
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Provider Business Mailing Address
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Address Line | 530 PLAZA DR APT 104
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City | MADISON
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State | WI
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Zip | 53719-3853
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PIYAPORN MOUA
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Credential | BCBA
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Telephone | 608-422-3575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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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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Taxonomy #4
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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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