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General NPI Number Information
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NPI Number | 1275400202
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Entity Type | Organization
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Legal Business Name | CLEARSTEPS ABA NJ LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 165 PASSAIC AVE
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City | FAIRFIELD
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State | NJ
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Zip | 07004-3521
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Country | US
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Telephone | 631-229-6504
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Fax |
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Provider Business Mailing Address
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Address Line | 165 PASSAIC AVE STE 205
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City | FAIRFIELD
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State | NJ
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Zip | 07004-3526
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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 | CO OWNER
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Name | AMRAM CARCIENTE
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Credential |
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Telephone | 631-229-6504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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