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General NPI Number Information
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NPI Number | 1295624245
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Entity Type | Organization
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Legal Business Name | GREATER WORKS ABA THERAPY LLC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 4361 TANTALLON LANE APT 201
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City | MEMPHIS
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State | TN
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Zip | 38125
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Country | US
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Telephone | 901-625-1649
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Fax |
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Provider Business Mailing Address
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Address Line | 1658 LEE VICTORY PKWY # 1008
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City | SMYRNA
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State | TN
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Zip | 37167-6529
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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 | ZEKERIA FLEMING
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Credential |
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Telephone | 469-545-6026
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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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