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General NPI Number Information
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NPI Number | 1184584419
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Entity Type | Organization
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Legal Business Name | PROGRESSING FORWARD ABA CENTER LLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 4293 WARD BLUFF DR
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City | ELLENWOOD
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State | GA
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Zip | 30294-1780
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Country | US
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Telephone | 470-842-4759
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Fax |
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Provider Business Mailing Address
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Address Line | 4293 WARD BLUFF DR
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City | ELLENWOOD
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State | GA
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Zip | 30294-1780
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Country | US
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Telephone | 470-842-4759
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KAHDEIA RUFUS
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Credential |
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Telephone | 470-842-4759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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