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NPI 1477413227

NPI 1477413227 : ABOVE AND BEYOND ABA PA LLC : BLUE BELL, PA

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General NPI Number Information
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    NPI Number           |    1477413227
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABOVE AND BEYOND ABA PA LLC 
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Dates
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    Enumeration Date     |    11/14/2025
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    Last Update Date     |    11/14/2025
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Provider Practice Location Address
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    Address Line         |    325 SENTRY PKWY E STE 301 
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    City                 |    BLUE BELL
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    State                |    PA
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    Zip                  |    19422-2312
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    Country              |    US
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    Telephone            |    732-806-0091
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    325 SENTRY PKWY E STE 301 
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    City                 |    BLUE BELL
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    State                |    PA
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    Zip                  |    19422-2312
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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    |    AUTHORIZED OFFICIAL
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    Name                 |     MATT  ROKOWSKY 
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    Credential           |    
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    Telephone            |    732-806-0091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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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        |    106E00000X
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    Taxonomy Name        |    Assistant Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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 #4
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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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