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General NPI Number Information
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NPI Number | 1285475467
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Entity Type | Organization
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Legal Business Name | SILVERSWING ABA NE LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1408 FORT CROOK RD S
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City | BELLEVUE
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State | NE
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Zip | 68005-3061
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Country | US
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Telephone | 732-783-4428
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Fax |
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Provider Business Mailing Address
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Address Line | 4 FRANKLIN PL
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City | WOODMERE
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State | NY
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Zip | 11598-1265
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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 | DIRECTOR
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Name | YOSEF MOSKOWITZ
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Credential |
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Telephone | 732-783-4428
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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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Taxonomy #2
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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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