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General NPI Number Information
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NPI Number | 1386158012
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Entity Type | Organization
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Legal Business Name | MELISSA PFLAEGING ABA THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 3300 GRAYLAND AVE
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City | RICHMOND
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State | VA
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Zip | 23221-3407
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Country | US
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Telephone | 646-209-2139
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Fax | 804-359-2363
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Provider Business Mailing Address
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Address Line | 3300 GRAYLAND AVE
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City | RICHMOND
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State | VA
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Zip | 23221-3407
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Country | US
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Telephone | 646-209-2139
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Fax | 804-359-2363
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | MELISSA PFLAEGING
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Credential | LBA, BCBA
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Telephone | 646-209-2139
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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 | 0133000723
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License Number State | VA
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