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General NPI Number Information
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NPI Number | 1275402711
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Entity Type | Organization
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Legal Business Name | JUMPSTART ABA, LLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 8605 SANTA MONICA BLVD # 188287
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 805-587-2759
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Fax | 805-307-0499
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD # 188287
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 805-587-2759
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Fax | 805-307-0499
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Authorized Official
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Title or Position | CLINICAL MANAGER, CEO
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Name | LAURA ANNE TRUEX
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Credential | MS, BCBA
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Telephone | 805-587-2759
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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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