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General NPI Number Information
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NPI Number | 1417304288
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Entity Type | Organization
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Legal Business Name | ABA BEHAVIORALSERVICES LLC
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 6310 SAN VICENTE BLVD STE 300
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City | LOS ANGELES
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State | CA
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Zip | 90048-5447
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Country | US
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Telephone | 323-693-1600
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Fax | 323-693-7131
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Provider Business Mailing Address
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Address Line | 6310 SAN VICENTE BLVD STE 300
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City | LOS ANGELES
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State | CA
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Zip | 90048-5447
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Country | US
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Telephone | 323-693-1600
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Fax | 323-693-7131
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARCIA RUBIN
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Credential | LFMT
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Telephone | 323-388-9982
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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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