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General NPI Number Information
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NPI Number | 1518473933
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Entity Type | Organization
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Legal Business Name | ABA SERVICES PRETTY DEVGUN SOLE MBR
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 12/20/2017
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Provider Practice Location Address
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Address Line | 9138 LEELAND ARCHER BLVD
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City | ORLANDO
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State | FL
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Zip | 32836-8838
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Country | US
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Telephone | 914-602-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 947 TARAMUNDI DR
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City | OVIEDO
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State | FL
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Zip | 32765-7181
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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 | PREETY DEVGUN
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Credential | BCBA
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Telephone | 516-754-0348
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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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