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General NPI Number Information
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NPI Number | 1457250227
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Entity Type | Organization
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Legal Business Name | IMAGINENATION ABA TN LLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 6339 CHARLOTTE PIKE # D475
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City | NASHVILLE
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State | TN
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Zip | 37209-2926
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Country | US
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Telephone | 615-538-6625
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Fax | 312-426-3415
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Provider Business Mailing Address
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Address Line | 1155 E 28TH ST
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City | BROOKLYN
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State | NY
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Zip | 11210-4624
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Country | US
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Telephone | 561-400-5713
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Fax | 312-426-3415
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Authorized Official
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Title or Position | DIRECTOR
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Name | RIVKA FRYER
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Credential |
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Telephone | 561-400-5713
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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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