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General NPI Number Information
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NPI Number | 1124699871
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Entity Type | Organization
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Legal Business Name | LETS GO BEHAVIOR CONSULTING
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Dates
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Enumeration Date | 07/04/2021
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Last Update Date | 07/04/2021
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Provider Practice Location Address
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Address Line | 165 SHORE BLVD APT 1
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City | KEANSBURG
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State | NJ
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Zip | 07734-1870
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Country | US
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Telephone | 201-741-2035
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Fax |
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Provider Business Mailing Address
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Address Line | 165 SHORE BLVD APT 1
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City | KEANSBURG
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State | NJ
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Zip | 07734-1870
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Country | US
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Telephone | 201-741-2035
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CO-FOUNDER
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Name | MR. RICHARD JOSEPH BAIETTI
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Credential | BCBA
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Telephone | 201-741-2035
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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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