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General NPI Number Information
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NPI Number | 1962352336
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Entity Type | Organization
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Legal Business Name | KRYTEN HOLDINGS LLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 11024 N 28TH DR STE 105
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City | PHOENIX
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State | AZ
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Zip | 85029-4378
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Country | US
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Telephone | 520-595-5758
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Fax |
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Provider Business Mailing Address
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Address Line | 3409 N 7TH AVE # 2070
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City | PHOENIX
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State | AZ
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Zip | 85013-3635
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Country | US
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Telephone | 520-595-5758
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Fax | 520-655-4232
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Authorized Official
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Title or Position | CEO
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Name | JOHN WILLIAM GARRETT
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Credential |
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Telephone | 520-655-3825
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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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