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General NPI Number Information
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NPI Number | 1982855250
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Entity Type | Organization
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Legal Business Name | AUTISM CONCEPTS, INC.
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 05/10/2013
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Provider Practice Location Address
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Address Line | 6394 COLLEGE BLVD
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1506
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Country | US
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Telephone | 800-345-0448
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Fax | 913-800-8196
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Provider Business Mailing Address
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Address Line | 6394 COLLEGE BLVD
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1506
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Country | US
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Telephone | 800-345-0448
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Fax | 913-800-8196
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. BRADLEY R CHAMPLIN
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Credential |
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Telephone | 913-663-4100
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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 | 1-04-1805
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License Number State | KS
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