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General NPI Number Information
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NPI Number | 1982114443
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Entity Type | Individual
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Provider Name | ALISON CHRISTINE GRAHAM BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 6051 FM 3009 # 215
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City | SCHERTZ
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State | TX
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Zip | 78154-3433
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Country | US
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Telephone | 559-270-4210
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Fax |
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Provider Business Mailing Address
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Address Line | 356 AUTUMN ROUGE
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-0133
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Country | US
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Telephone | 559-270-4210
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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 | 0133001196
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License Number State | VA
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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 | 3723
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License Number State | TX
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