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NPI 1376412312

NPI 1376412312 : LAYA GINSBERG MA , BCBA : LAKEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1376412312
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    Entity Type          |    Individual 
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    Provider Name        |    LAYA GINSBERG MA , BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/29/2025
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    104 VAN BUREN AVE 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-2360
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    Country              |    US
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    Telephone            |    917-693-1075
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    220 CATHY LN 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-5308
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    Country              |    US
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    Telephone            |    646-468-8651
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    15BC00274000
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    License Number State |    NJ
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