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General NPI Number Information
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NPI Number | 1326971250
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Entity Type | Organization
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Legal Business Name | ENGAGING GROWTH ABA THERAPY PLLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 8200 SHORE FRONT PKWY APT 8B
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City | ROCKAWAY BEACH
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State | NY
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Zip | 11693-2143
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Country | US
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Telephone | 917-599-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 SHORE FRONT PKWY APT 8B
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City | ROCKAWAY BEACH
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State | NY
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Zip | 11693-2143
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Country | US
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Telephone | 917-599-1125
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. OLENA FAYERMAN
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Credential | BCBA, LBA
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Telephone | 917-599-1125
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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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