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General NPI Number Information
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NPI Number | 1992443899
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Entity Type | Organization
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Legal Business Name | INSPIRED ABA, PLLC
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Dates
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Enumeration Date | 05/22/2022
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Last Update Date | 05/22/2022
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Provider Practice Location Address
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Address Line | 3004 VICKSBURG RD
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6388
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Country | US
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Telephone | 931-302-9723
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Fax | 844-440-1982
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Provider Business Mailing Address
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Address Line | 3004 VICKSBURG RD
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6388
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Country | US
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Telephone | 931-302-9723
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Fax | 844-440-1982
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH SCHELLHAMMER
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Credential | BCBCA, LBA
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Telephone | 931-302-9723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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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 |
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License Number State |
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