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General NPI Number Information
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NPI Number | 1134085160
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Entity Type | Organization
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Legal Business Name | RISE AND SHINE ABA LLC
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 1910 PACIFIC AVE STE 20001170
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City | DALLAS
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State | TX
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Zip | 75201-4529
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Country | US
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Telephone | 929-460-9600
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Fax | 646-330-4524
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Provider Business Mailing Address
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Address Line | 1910 PACIFIC AVE STE 20001170
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City | DALLAS
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State | TX
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Zip | 75201-4529
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Country | US
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Telephone | 929-460-9600
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Fax | 646-330-4524
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | SHAZIA KHALIQ
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Credential | BCBA
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Telephone | 929-462-9600
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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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