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General NPI Number Information
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NPI Number | 1134039548
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Entity Type | Organization
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Legal Business Name | ABA DIVINE STEPS MO LLC
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 211 N BROADWAY FL 23
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City | SAINT LOUIS
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State | MO
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Zip | 63102-2711
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Country | US
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Telephone | 410-220-0768
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SHENANDOAH DR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4978
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Country | US
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Telephone | 845-517-8932
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MOSES SPITZ
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Credential |
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Telephone | 410-220-0768
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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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