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General NPI Number Information
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NPI Number | 1477187979
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Entity Type | Organization
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Legal Business Name | SHAPING SUCCESS LLC
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 232 N MAIN ST
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-1844
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Country | US
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Telephone | 413-427-2169
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Fax |
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Provider Business Mailing Address
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Address Line | 183 BROOKHAVEN DR
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-1474
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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 | DIRECTOR/ BCBA
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Name | VANESSA FERRERO
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Credential | BCBA
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Telephone | 413-427-2169
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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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