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General NPI Number Information
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NPI Number | 1003447335
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE KIDS LICENSED APPLIED BEHAVIOR ANALYSIS, PLLC
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 225 E 76TH ST APT E
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City | NEW YORK
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State | NY
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Zip | 10021-2139
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Country | US
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Telephone | 212-744-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 225 E 76TH ST APT E
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City | NEW YORK
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State | NY
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Zip | 10021-2139
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/DIRECTOR
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Name | JAMIE KRAUS
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Credential | MSED, BCBA, LBA
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Telephone | 212-744-1300
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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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