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General NPI Number Information
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NPI Number | 1356212211
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Entity Type | Organization
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Legal Business Name | OUT OF THE BOX ABA
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 99 DERBY ST STE 200
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City | HINGHAM
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State | MA
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Zip | 02043-4216
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Country | US
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Telephone | 508-455-5683
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Fax | 774-307-9842
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Provider Business Mailing Address
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Address Line | 99 DERBY ST STE 200
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City | HINGHAM
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State | MA
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Zip | 02043-4216
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Country | US
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Telephone | 508-455-5683
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Fax | 774-307-9842
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JAI BRAMBHATT
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Credential |
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Telephone | 904-730-1585
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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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