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General NPI Number Information
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NPI Number | 1447817804
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Entity Type | Organization
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Legal Business Name | TEAMWORK LICENSED BEHAVIOR ANALYST SERVICES, PLLC
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 1216 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10001-4483
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Country | US
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Telephone | 347-557-8468
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Fax | 347-557-8468
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Provider Business Mailing Address
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Address Line | 1216 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10001-4483
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Country | US
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Telephone | 347-557-8468
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Fax | 347-557-8468
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Authorized Official
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Title or Position | CO-FOUNDER & CHIEF CLINICAL OFFICER
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Name | ERIKA BYERS
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Credential | LBA
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Telephone | 714-423-2414
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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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