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NPI 1225993165

NPI 1225993165 : PROUD FACES ABA PLLC : SPRING VALLEY, NY

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General NPI Number Information
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    NPI Number           |    1225993165
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    Entity Type          |    Organization 
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    Legal Business Name  |    PROUD FACES ABA PLLC 
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Dates
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    Enumeration Date     |    12/23/2025
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    Last Update Date     |    12/23/2025
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Provider Practice Location Address
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    Address Line         |    185 N MAIN ST 
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    City                 |    SPRING VALLEY
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    State                |    NY
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    Zip                  |    10977-4105
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    Country              |    US
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    Telephone            |    201-774-3283
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    229 PALISADE AVE FL 2 
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    City                 |    BOGOTA
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    State                |    NJ
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    Zip                  |    07603-1452
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAVID  ZAKAIM 
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    Credential           |    BCBA LBA
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    Telephone            |    201-774-3283
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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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