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General NPI Number Information
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NPI Number | 1972916815
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Entity Type | Organization
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Legal Business Name | JMK BEHAVIOR, LLC
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1601 MILLTOWN ROAD SUITE 11
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City | WILMINGTON
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State | DE
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Zip | 19808
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Country | US
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Telephone | 302-981-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 MILLTOWN ROAD SUITE 11
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City | WILMINGTON
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State | DE
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Zip | 19808
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Country | US
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Telephone | 302-981-9003
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JODI MICHELLE KARABIN
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Credential | LPC, NCC, CADC
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Telephone | 302-981-9003
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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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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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