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General NPI Number Information
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NPI Number | 1427747641
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Entity Type | Organization
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Legal Business Name | INCLUSIVE ABA NV LLC
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Dates
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Enumeration Date | 05/03/2023
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 8275 S EASTERN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89123-2591
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Country | US
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Telephone | 702-302-4435
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 PROSPECT ST STE 603
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4642
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Country | US
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Telephone | 303-616-1188
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JT GUTMAN
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Credential |
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Telephone | 303-616-1188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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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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