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General NPI Number Information
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NPI Number | 1972453868
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Entity Type | Organization
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Legal Business Name | BRANDYWINE CENTER FOR AUTISM, LLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 505 DUTCHMANS LN STE A2
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City | EASTON
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State | MD
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Zip | 21601-4302
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Country | US
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Telephone | 302-327-9215
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Fax |
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Provider Business Mailing Address
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Address Line | 510 PHILADELPHIA PIKE
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City | WILMINGTON
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State | DE
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Zip | 19809-2100
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Country | US
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Telephone |
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Fax | 302-348-9028
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | VALPRESIOUS HAM
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Credential |
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Telephone | 302-327-9215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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