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General NPI Number Information
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NPI Number | 1306533740
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Entity Type | Organization
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Legal Business Name | FORWARD FOCUS ABA LLC
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 3420 ATRIUM BLVD STE 160
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City | MIDDLETOWN
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State | OH
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Zip | 45005-5186
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Country | US
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Telephone | 513-318-8830
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Fax |
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Provider Business Mailing Address
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Address Line | 2559 LAURELHURST RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-4611
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Country | US
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Telephone | 216-315-2190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHOSHANA SKORSKI
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Credential |
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Telephone | 216-315-2190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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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