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General NPI Number Information
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NPI Number | 1982264651
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Entity Type | Individual
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Provider Name | CHRYSTAL LYNNE ATKINSON BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/15/2019
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Last Update Date | 06/15/2019
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Provider Practice Location Address
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Address Line | 5731 JACKSON ST STE B&C
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City | ALEXANDRIA
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State | LA
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Zip | 71303-7022
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Country | US
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Telephone | 318-704-6470
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Fax |
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Provider Business Mailing Address
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Address Line | 920 TWIN BRIDGES RD APT 117
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2074
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Country | US
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Telephone | 318-491-0305
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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 |
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License Number State |
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