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General NPI Number Information
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NPI Number | 1053878793
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Entity Type | Organization
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Legal Business Name | ACCESS AUTISM CONSULTING LLC
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Dates
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Enumeration Date | 03/01/2019
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 521 NEWMAN SPRINGS RD STE 21
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City | LINCROFT
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State | NJ
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Zip | 07738-1464
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Country | US
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Telephone | 732-772-3466
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Fax |
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Provider Business Mailing Address
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Address Line | 70 CREST CIR
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City | MATAWAN
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State | NJ
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Zip | 07747-2601
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Country | US
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Telephone | 732-772-3466
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIYA RIVKIN
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Credential | BCBA
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Telephone | 732-772-3466
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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