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General NPI Number Information
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NPI Number | 1427635861
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Entity Type | Organization
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Legal Business Name | STEP AHEAD ABA LLC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 125 S WACKER DR STE 300
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City | CHICAGO
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State | IL
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Zip | 60606-4421
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Country | US
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Telephone | 312-253-7376
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Fax |
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Provider Business Mailing Address
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Address Line | 125 S WACKER DR STE 300
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City | CHICAGO
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State | IL
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Zip | 60606-4421
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JAY LEVIN
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Credential |
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Telephone | 773-644-8889
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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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