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General NPI Number Information
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NPI Number | 1215569553
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND ABA NE, LLC
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 9802 NICHOLAS ST STE 395
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City | OMAHA
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State | NE
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Zip | 68114-2168
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Country | US
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Telephone | 732-806-0091
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Fax | 732-813-8001
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Provider Business Mailing Address
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Address Line | 185 ROUTE 70 STE 302
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City | TOMS RIVER
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State | NJ
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Zip | 08755-0936
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Country | US
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Telephone | 732-806-0091
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Fax | 732-813-8001
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MATT ROKOWSKY
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Credential | LNHA
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Telephone | 732-806-0091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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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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