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General NPI Number Information
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NPI Number | 1053102673
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Entity Type | Organization
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Legal Business Name | LITTLE ACORN ABA MN
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 5201 EDEN AVE STE 300
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City | EDINA
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State | MN
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Zip | 55436-2315
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Country | US
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Telephone | 732-703-0594
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Fax |
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Provider Business Mailing Address
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Address Line | 42 LENOX DR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-7419
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Country | US
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Telephone | 732-703-0594
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHMUEL S LANDYNSKI
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Credential |
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Telephone | 732-703-0594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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