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General NPI Number Information
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NPI Number | 1205501897
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Entity Type | Organization
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Legal Business Name | JOANNE CRAIG, NEW GROWTH ABA
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 52 FEDERAL AVE.
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City | AGAWAM
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State | MA
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Zip | 01001-2121
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Country | US
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Telephone | 413-441-7914
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Fax | 413-351-0227
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Provider Business Mailing Address
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Address Line | 52 FEDERAL AVE.
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City | AGAWAM
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State | MA
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Zip | 01001-2121
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Country | US
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Telephone | 413-441-7914
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Fax | 413-351-0227
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Authorized Official
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Title or Position | CLINICAL DIRECTOR, OWNER
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Name | MS. JOANNE CRAIG
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Credential | LABA, BCBA
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Telephone | 413-441-7914
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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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