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General NPI Number Information
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NPI Number | 1093525826
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Entity Type | Organization
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Legal Business Name | UNITED CARE APPLIED BEHAVIOR ANALYSIS (ABA) PLLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 320 DAUB AVE
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City | HEWLETT
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State | NY
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Zip | 11557-1105
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Country | US
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Telephone | 516-362-9561
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Fax |
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Provider Business Mailing Address
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Address Line | 171 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11223-1023
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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 | VICE PRESIDENT
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Name | GAVRIELLA BOHAN
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Credential |
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Telephone | 516-362-9561
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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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