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General NPI Number Information
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NPI Number | 1043893241
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Entity Type | Organization
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Legal Business Name | AKAMAI BEHAVIOR ANALYSIS LLC
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 139 HOOWAIWAI LOOP APT 2606
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City | WAILUKU
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State | HI
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Zip | 96793-4132
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Country | US
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Telephone | 808-276-2417
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Fax | 808-422-9816
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Provider Business Mailing Address
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Address Line | 139 HOOWAIWAI LOOP APT 2606
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City | WAILUKU
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State | HI
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Zip | 96793-4132
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Country | US
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Telephone | 808-276-2417
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Fax | 808-422-9816
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MR. MATHEW EVAN FRANK
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Credential | ED.S.
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Telephone | 808-276-2417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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