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General NPI Number Information
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NPI Number | 1275404717
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Entity Type | Organization
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Legal Business Name | KIDDOS ABA NM LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 500 MARQUETTE AVE NW STE 1200
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-5312
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Country | US
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Telephone | 732-604-7520
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 BROADWAY
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City | WOODMERE
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State | NY
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Zip | 11598-1227
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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 | CEO
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Name | MORDECHY STEG
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Credential |
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Telephone | 732-604-7520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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