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General NPI Number Information
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NPI Number | 1174164966
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Entity Type | Organization
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Legal Business Name | ABA EXPRESSIONS, LLC
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 1 SEPTEMBER DR
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City | GREENLAND
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State | NH
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Zip | 03840-2503
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Country | US
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Telephone | 603-531-2173
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 186
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City | GREENLAND
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State | NH
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Zip | 03840-0186
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Country | US
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Telephone | 603-531-2173
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER ALLEN
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Credential | BCBA, LABA
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Telephone | 603-531-2173
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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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