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General NPI Number Information
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NPI Number | 1194204495
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Entity Type | Individual
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Provider Name | ALEXANDER REINHOLD BIELESCH LPC, BCBA
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Gender | Male
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 1951 ROHLWING RD STE C
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-1300
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Country | US
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Telephone | 847-961-2679
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Fax |
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Provider Business Mailing Address
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Address Line | 1951 ROHLWING RD STE C
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-1300
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Country | US
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Telephone | 773-315-3177
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1-21-51396
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License Number State | IL
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