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General NPI Number Information
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NPI Number | 1043922594
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Entity Type | Organization
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Legal Business Name | READY 2 LEARN ABA LLC
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 15841 DUNDALK LN
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3119
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Country | US
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Telephone | 714-392-9901
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Fax |
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Provider Business Mailing Address
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Address Line | 15841 DUNDALK LN
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3119
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Country | US
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Telephone | 714-392-9901
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANALYST
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Name | ANDREA JEAN CARMODY
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Credential | M.ED., BCBA
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Telephone | 714-392-9901
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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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