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General NPI Number Information
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NPI Number | 1235098641
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Entity Type | Organization
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Legal Business Name | SHINE FORWARD ABA LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 3307 HUDSON AVE
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City | UNION CITY
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State | NJ
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Zip | 07087-7748
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Country | US
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Telephone | 347-620-0175
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Fax |
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Provider Business Mailing Address
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Address Line | 183 WILSON ST # 397
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City | BROOKLYN
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State | NY
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Zip | 11211-7578
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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 | MR. MAYER ZAFIR
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Credential |
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Telephone | 845-501-9951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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