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General NPI Number Information
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NPI Number | 1467203687
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Entity Type | Organization
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Legal Business Name | RIGHTWAY ABA OF NJ LLC
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 399 SOUTH PKWY
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City | CLIFTON
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State | NJ
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Zip | 07014-1240
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Country | US
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Telephone | 845-608-9766
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Fax |
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Provider Business Mailing Address
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Address Line | 115 RANDOLPH AVE
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City | WATERBURY
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State | CT
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Zip | 06710-1624
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Country | US
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Telephone | 845-608-9766
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHELLE WISOTSKY
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Credential | MS BCBA LBA
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Telephone | 845-608-9766
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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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