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General NPI Number Information
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NPI Number | 1053273177
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Entity Type | Organization
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Legal Business Name | AMAZE ABA UTAH
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 6975 S UNION PARK CTR STE 600
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City | MIDVALE
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State | UT
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Zip | 84047-4187
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Country | US
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Telephone | 855-425-4003
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Fax |
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Provider Business Mailing Address
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Address Line | 704 HILLCREST PL
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City | VALLEY STREAM
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State | NY
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Zip | 11581-3128
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Country | US
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Telephone | 917-828-1809
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOSEPH SCHWARTZ
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Credential |
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Telephone | 855-425-4003
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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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