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General NPI Number Information
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NPI Number | 1215735360
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Entity Type | Organization
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Legal Business Name | SUNSHINE ABA LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 4075 DICEGLIE CT
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City | SAGINAW
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State | MI
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Zip | 48604-9768
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Country | US
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Telephone | 989-798-2833
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Fax |
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Provider Business Mailing Address
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Address Line | 4075 DICEGLIE CT
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City | SAGINAW
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State | MI
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Zip | 48604-9768
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Country | US
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Telephone | 989-798-2833
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERYN LASKOWSKI
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Credential |
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Telephone | 989-798-2833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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