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NPI 1508719048

NPI 1508719048 : CHILDWISE ABA TX LLC : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1508719048
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHILDWISE ABA TX LLC 
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Dates
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    Enumeration Date     |    02/16/2026
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    Last Update Date     |    02/16/2026
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Provider Practice Location Address
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    Address Line         |    2595 DALLAS PKWY STE 350 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-8527
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    Country              |    US
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    Telephone            |    929-282-4178
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1514 60TH ST STE 701 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11219-5022
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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    |    OWNER
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    Name                 |     YOSEF  GREENBAUM 
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    Credential           |    
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    Telephone            |    929-282-4178
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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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