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General NPI Number Information
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NPI Number | 1073888335
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Entity Type | Organization
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Legal Business Name | OPTIMAL BEGINNINGS, LLC
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 5272 RIVER RD SUITE 300
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City | BETHESDA
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State | MD
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Zip | 20816-1405
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Country | US
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Telephone | 301-718-1716
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Fax | 301-718-1766
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Provider Business Mailing Address
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Address Line | 5272 RIVER RD SUITE 300
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City | BETHESDA
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State | MD
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Zip | 20816-1405
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Country | US
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Telephone | 301-718-1716
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Fax | 301-718-1766
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR & CEO
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Name | MS. DANA VISALLI-GOLD
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Credential | BCBA-D, PH.D
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Telephone | 301-718-1716
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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 | 1-06-3014
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License Number State | MD
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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 | 1-12-10359
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-11-8018
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17943
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1107456
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1096383
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11314065
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0145875
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0146026
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License Number State | MD
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Taxonomy #10
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1062969
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License Number State | NY
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Taxonomy #11
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1073745
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License Number State | MD
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