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General NPI Number Information
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NPI Number | 1972045151
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Entity Type | Organization
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Legal Business Name | LOVING BEHAVIORS LLC
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Dates
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Enumeration Date | 11/05/2016
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Last Update Date | 11/05/2016
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Provider Practice Location Address
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Address Line | 7813 ALSOP WAY
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City | SPOTSYLVANIA
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State | VA
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Zip | 22551-3385
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Country | US
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Telephone | 202-868-1332
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Fax |
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Provider Business Mailing Address
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Address Line | 7813 ALSOP WAY
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City | SPOTSYLVANIA
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State | VA
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Zip | 22551-3385
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Country | US
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Telephone | 202-868-1332
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Fax |
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Authorized Official
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Title or Position | REGISTERED BEHAVIOR TECHNICIAN
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Name | MR. BRANDON FITZGERALD FORTUNE
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Credential | RBT
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Telephone | 202-868-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | VA
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