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General NPI Number Information
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NPI Number | 1952058950
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Entity Type | Organization
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Legal Business Name | KINDNESS AND INTERVENTION LLC
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 886 AMBIENT WAY SW
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City | ATLANTA
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State | GA
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Zip | 30331-8644
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Country | US
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Telephone | 404-447-1683
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Fax | 404-953-7556
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Provider Business Mailing Address
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Address Line | 165 SHORELINE WALK
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City | ALPHARETTA
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State | GA
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Zip | 30022-7639
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Country | US
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Telephone | 404-447-1683
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Fax | 404-953-7556
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Authorized Official
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Title or Position | BCBA
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Name | JANAE JAZMEEN MILLER
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Credential | MS
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Telephone | 404-447-1683
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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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