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General NPI Number Information
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NPI Number | 1164221693
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Entity Type | Organization
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Legal Business Name | ABVIVA
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Dates
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Enumeration Date | 03/08/2025
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 741 PIEDMONT AVE NE # 2001275
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City | ATLANTA
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State | GA
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Zip | 30308-1464
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Country | US
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Telephone | 737-867-0866
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Fax |
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Provider Business Mailing Address
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Address Line | 741 PIEDMONT AVE NE # 2001275
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City | ATLANTA
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State | GA
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Zip | 30308-1464
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Country | US
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Telephone | 737-867-0866
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA OKAIN
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Credential | BCBA
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Telephone | 737-867-0866
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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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