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General NPI Number Information
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NPI Number | 1003290743
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL AND EDUCATIONAL SOLUTIONS AND TRAINING OF NJ, LLC
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 101 EISENHOWER PKWY SUITE 300
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City | ROSELAND
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State | NJ
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Zip | 07068-1032
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Country | US
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Telephone | 844-823-7865
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Fax | 973-783-4407
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Provider Business Mailing Address
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Address Line | 101 EISENHOWER PKWY SUITE 300
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City | ROSELAND
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State | NJ
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Zip | 07068-1032
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Country | US
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Telephone | 844-823-7865
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Fax | 973-783-4407
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Authorized Official
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Title or Position | DIRECTOR
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Name | BRIAN M YANKOUSKI
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Credential | BCBA
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Telephone | 844-823-7865
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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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