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General NPI Number Information
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NPI Number | 1043130131
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Entity Type | Organization
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Legal Business Name | AWESOME ACTIVE KIDS ABA
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 5155 BLUE DIAMOND ROAD SUITE 102 PMB1148
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City | LAS VEGAS
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State | NV
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Zip | 89139
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Country | US
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Telephone | 831-741-6552
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Fax |
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Provider Business Mailing Address
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Address Line | 5155 BLUE DIAMOND ROAD SUITE 102 PMB1148
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City | LAS VEGAS
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State | NV
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Zip | 89139
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Country | US
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Telephone | 831-741-6552
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Fax |
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Authorized Official
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Title or Position | BCBA/MANAGING MEMBER
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Name | BELINDA ISABEL PEOPLES
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Credential | BCBA, LBA
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Telephone | 831-741-6552
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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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