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General NPI Number Information
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NPI Number | 1114713609
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Entity Type | Organization
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Legal Business Name | COURTZ KIDZ ABA, LLC
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 18 BRECKENRIDGE LN
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City | SAVANNAH
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State | GA
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Zip | 31411-1701
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Country | US
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Telephone | 707-486-1978
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Fax |
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Provider Business Mailing Address
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Address Line | 18 BRECKENRIDGE LN
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City | SAVANNAH
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State | GA
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Zip | 31411-1701
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Country | US
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Telephone | 707-486-1978
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | COURTNEY JEAN KLEIBER
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Credential | BCBA, M.ED., LBA
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Telephone | 707-486-1978
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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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