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General NPI Number Information
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NPI Number | 1003658402
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Entity Type | Organization
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Legal Business Name | HOME LINK INTERNATIONAL INC
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 629 E WOOD ST STE 205
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City | VINELAND
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State | NJ
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Zip | 08360-3752
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Country | US
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Telephone | 856-839-0881
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Fax | 856-839-4813
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Provider Business Mailing Address
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Address Line | 629 E WOOD ST STE 205
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City | VINELAND
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State | NJ
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Zip | 08360-3752
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Country | US
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Telephone | 856-839-0881
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Fax | 856-839-4813
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. USIFO EDWARD ASIKHIA
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Credential | BCBA-D, QBA, MD
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Telephone | 856-308-3139
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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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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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