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General NPI Number Information
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NPI Number | 1508697913
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Entity Type | Organization
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Legal Business Name | MOMENTUM ABA LICENSED BEHAVIOR ANALYST SERVICES PLLC
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1225 FRANKLIN AVE STE 325
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City | GARDEN CITY
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State | NY
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Zip | 11530-1693
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Country | US
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Telephone | 516-233-7886
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 FRANKLIN AVE STE 325
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City | GARDEN CITY
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State | NY
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Zip | 11530-1693
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Country | US
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Telephone | 516-218-1556
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HENA FAROOQUI
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Credential |
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Telephone | 516-218-1556
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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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