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General NPI Number Information
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NPI Number | 1518519743
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Entity Type | Organization
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Legal Business Name | MANHATTAN APPLIED BEHAVIOR ANALYSIS INTERVENTIONS , PLLC
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 124 W 95TH ST
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City | NEW YORK
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State | NY
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Zip | 10025-6604
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Country | US
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Telephone | 646-480-5756
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Fax |
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Provider Business Mailing Address
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Address Line | 124 W 95TH ST
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City | NEW YORK
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State | NY
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Zip | 10025-6604
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Country | US
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Telephone | 646-480-5756
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | EMILY BENNETT
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Credential |
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Telephone | 466-480-5756
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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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