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General NPI Number Information
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NPI Number | 1013418953
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Entity Type | Individual
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Provider Name | JONATHON GLEN NEUMANN HAVEN MS, BCBA
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Gender | Male
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 2238 W MAYPOLE AVE UNIT 102
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City | CHICAGO
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State | IL
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Zip | 60612-2695
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Country | US
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Telephone | 630-537-0297
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Fax |
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Provider Business Mailing Address
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Address Line | 1649 61ST ST STE 301
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City | BROOKLYN
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State | NY
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Zip | 11204-2746
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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 |
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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 | 1-20-44233
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License Number State | IL
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