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General NPI Number Information
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NPI Number | 1235082892
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Entity Type | Organization
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Legal Business Name | HAVEN BEHAVIORAL COLLECTIVE LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 16 MELANIE LN
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2080
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Country | US
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Telephone | 908-581-6862
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Fax |
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Provider Business Mailing Address
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Address Line | 16 MELANIE LN
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2080
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Country | US
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Telephone | 908-581-6862
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | JENNIFER L HARRIS
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Credential | BCBA
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Telephone | 908-581-6862
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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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