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General NPI Number Information
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NPI Number | 1326730243
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Entity Type | Organization
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Legal Business Name | SACRAMENTO ABA THERAPY LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 2035 HURLEY WAY STE 900
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City | SACRAMENTO
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State | CA
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Zip | 95825-3233
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Country | US
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Telephone | 916-272-1570
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Fax | 916-405-3460
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Provider Business Mailing Address
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Address Line | 2035 HURLEY WAY STE 900
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City | SACRAMENTO
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State | CA
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Zip | 95825-3233
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Country | US
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Telephone | 916-272-1570
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Fax | 916-405-3460
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Authorized Official
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Title or Position | CEO
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Name | MR. VLADIMIR KOGAN
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Credential |
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Telephone | 916-272-1570
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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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