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General NPI Number Information
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NPI Number | 1982526083
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Entity Type | Individual
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Provider Name | MICHAEL GATLIN
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Gender | Male
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 2620 TECHNOLOGY FOREST BLVD
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City | THE WOODLANDS
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State | TX
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Zip | 77381-3904
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Country | US
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Telephone | 832-460-8803
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Fax |
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Provider Business Mailing Address
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Address Line | 229 INTERSTATE 45 N APT 1510
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City | CONROE
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State | TX
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Zip | 77304-2319
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Country | US
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Telephone | 832-994-0456
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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 | BHV-010691
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License Number State | TX
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