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General NPI Number Information
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NPI Number | 1477425080
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Entity Type | Organization
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Legal Business Name | PRECISION BEHAVIOR GROUP LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 55-77 SCHANCK RD UNIT 9-13
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City | FREEHOLD
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State | NJ
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Zip | 07728-2964
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Country | US
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Telephone | 201-962-0438
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Fax |
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Provider Business Mailing Address
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Address Line | 53 MAJOR DR
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City | SAYREVILLE
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State | NJ
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Zip | 08872-1012
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Country | US
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Telephone | 201-962-0438
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. GAUTAM KAKAR
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Credential |
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Telephone | 201-962-0438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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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 | 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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