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General NPI Number Information
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NPI Number | 1386446995
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Entity Type | Individual
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Provider Name | AYA ELGANZOURI BCBA, MA
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1000 WYCKOFF AVE STE 3
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City | MAHWAH
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State | NJ
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Zip | 07430-3285
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Country | US
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Telephone | 281-854-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 159 SOUTH MILITARY ACADEMY AREA G
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City | NEW CAIRO
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State | CAIRO
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Zip | 11811
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Country | EG
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Telephone |
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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 | 1-23-65437
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License Number State | PA
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