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General NPI Number Information
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NPI Number | 1952708216
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 749 ROCKY HILL RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-5523
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Country | US
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Telephone | 774-269-8028
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Fax | 508-224-9823
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Provider Business Mailing Address
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Address Line | 749 ROCKY HILL RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-5523
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Country | US
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Telephone | 774-269-8028
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Fax | 508-224-9823
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. LYNN MARIE CORBETT
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Credential | BCBA, LMHC
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Telephone | 774-269-8028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5086
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-05-2179
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License Number State | MA
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