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General NPI Number Information
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NPI Number | 1326855446
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Entity Type | Organization
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Legal Business Name | AADVANCED ABA THERAPY GROUP LLC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 720 S COLORADO BLVD PH
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City | DENVER
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State | CO
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Zip | 80246-1904
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Country | US
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Telephone | 347-372-4521
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Fax |
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Provider Business Mailing Address
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Address Line | 12 AVALON LN
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City | JACKSON
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State | NJ
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Zip | 08527-3114
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Country | US
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Telephone | 848-240-2825
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ISRAEL ENGLARD
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Credential |
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Telephone | 347-372-4521
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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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