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NPI 1477327401

NPI 1477327401 : KIDFIRST ABA LLC : ALDIE, VA

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General NPI Number Information
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    NPI Number           |    1477327401
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    Entity Type          |    Organization 
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    Legal Business Name  |    KIDFIRST ABA LLC 
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Dates
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    Enumeration Date     |    11/09/2023
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    Last Update Date     |    11/09/2023
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Provider Practice Location Address
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    Address Line         |    40963 BRUZZO WOODS CT 
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    City                 |    ALDIE
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    State                |    VA
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    Zip                  |    20105-2298
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    Country              |    US
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    Telephone            |    157-125-1586
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    40963 BRUZZO WOODS CT 
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    City                 |    ALDIE
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    State                |    VA
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    Zip                  |    20105-2298
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    Country              |    US
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    Telephone            |    571-251-5868
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, CLINICAL DIRECTOR
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    Name                 |    MS. KRYSTLE L CURLEY 
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    Credential           |    BCBA, LBA
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    Telephone            |    571-251-5868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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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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