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NPI 1992281158

NPI 1992281158 : ELIZABETH BROWN-MILLER BCBA, LBA : KILLEEN, TX

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General NPI Number Information
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    NPI Number           |    1992281158
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH BROWN-MILLER BCBA, LBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/11/2018
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    Last Update Date     |    10/05/2021
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Provider Practice Location Address
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    Address Line         |    310 W CENTRAL TEXAS EXPY STE 4 
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    City                 |    KILLEEN
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    State                |    TX
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    Zip                  |    76541-2573
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    Country              |    US
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    Telephone            |    254-833-8800
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    Fax                  |    254-833-8801
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Provider Business Mailing Address
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    Address Line         |    310 W CENTRAL TEXAS EXPY STE 4 
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    City                 |    KILLEEN
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    State                |    TX
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    Zip                  |    76541-2573
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    Country              |    US
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    Telephone            |    254-833-8800
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    Fax                  |    254-833-8801
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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       |    2789
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    License Number State |    TX
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