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NPI 1134924756

NPI 1134924756 : SREE RAMAKRISHNA ABA LLC : BETHPAGE, NY

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General NPI Number Information
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    NPI Number           |    1134924756
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    Entity Type          |    Organization 
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    Legal Business Name  |    SREE RAMAKRISHNA ABA LLC 
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Dates
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    Enumeration Date     |    02/18/2025
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    Last Update Date     |    02/18/2025
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Provider Practice Location Address
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    Address Line         |    177 N 7TH ST FL 2 
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    City                 |    BETHPAGE
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    State                |    NY
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    Zip                  |    11714-1905
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    Country              |    US
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    Telephone            |    212-335-2860
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    Fax                  |    347-667-8477
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Provider Business Mailing Address
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    Address Line         |    8245 COMMONWEALTH BLVD 
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    City                 |    BELLEROSE
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    State                |    NY
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    Zip                  |    11426-1737
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    Country              |    US
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    Telephone            |    929-261-5425
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SPECIAL EDUCATION TEACHER
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    Name                 |    MRS. JUMA  SEN 
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    Credential           |    M.S ED
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    Telephone            |    929-261-5425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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