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General NPI Number Information
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NPI Number | 1033553441
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Entity Type | Organization
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Legal Business Name | AUTISM AND BEHAVIORAL INTERVENTION SERVICES, LLC
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 1910 CEDAR GLENN UNIT 4301
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City | ATLANTA
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State | GA
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Zip | 30339-8541
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Country | US
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Telephone | 678-814-7994
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 CEDAR GLENN UNIT 4301
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City | ATLANTA
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State | GA
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Zip | 30339-8541
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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 | OWNER AND BEHAVIOR ANALYST
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Name | DR. GEETIKA AGARWAL
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Credential | PH.D.
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Telephone | 678-814-7994
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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 | 1-11-9001
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License Number State | GA
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