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General NPI Number Information
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NPI Number | 1487335865
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Entity Type | Organization
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Legal Business Name | SHIFTING FOCUS ABA SERVICES LLC
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 616 MISTFLOWER DR NW
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City | ACWORTH
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State | GA
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Zip | 30102-6934
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Country | US
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Telephone | 317-319-7616
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Fax |
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Provider Business Mailing Address
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Address Line | 616 MISTFLOWER DR NW
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City | ACWORTH
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State | GA
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Zip | 30102-6934
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Country | US
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Telephone | 317-319-7616
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | OLAWALE AGBOOLA
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Credential |
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Telephone | 317-319-7616
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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