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General NPI Number Information
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NPI Number | 1063217453
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Entity Type | Organization
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Legal Business Name | ALLY BEHAVIOR LLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 8818 CENTRE PARK DR FL 2
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City | COLUMBIA
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State | MD
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Zip | 21045-2159
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Country | US
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Telephone | 301-265-5617
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 SPRING HILL RD STE 305
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City | MC LEAN
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State | VA
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Zip | 22102-3020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS ANALYST
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Name | JOEY YOON
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Credential |
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Telephone | 301-450-4086
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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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