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General NPI Number Information
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NPI Number | 1336773548
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Entity Type | Organization
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Legal Business Name | ABA LOGIC LLC
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 345 COURT ST STE 302C
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City | PLYMOUTH
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State | MA
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Zip | 02360-4329
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Country | US
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Telephone | 781-285-6377
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Fax | 508-283-3730
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Provider Business Mailing Address
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Address Line | 345 COURT ST STE 302C
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City | PLYMOUTH
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State | MA
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Zip | 02360-4329
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Country | US
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Telephone | 781-285-6377
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Fax | 508-283-3730
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Authorized Official
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Title or Position | MANAGER
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Name | STEPHANIE E. DALY
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Credential | BCBA, LABA
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Telephone | 781-285-6377
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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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