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NPI 1972259729

NPI 1972259729 : MARIANA LOUISE KING : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1972259729
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    Entity Type          |    Individual 
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    Provider Name        |    MARIANA LOUISE KING
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/01/2022
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    1215 HIGHTOWER TRL STE B120 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30350-6205
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    Country              |    US
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    Telephone            |    866-523-4268
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10101 FONDREN RD STE 550 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77096-5149
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    Country              |    US
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    Telephone            |    713-510-9001
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    9409
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    License Number State |    TX
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