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General NPI Number Information
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NPI Number | 1518623065
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Entity Type | Organization
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Legal Business Name | NOVA ABA & THERAPY SOLUTIONS LTD.
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 43 COMMUNITY SQUARE BLVD UNIT 1098
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City | VILLA RICA
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State | GA
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Zip | 30180-5743
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Country | US
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Telephone | 469-400-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 43 COMMUNITY SQUARE BLVD UNIT 1098
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City | VILLA RICA
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State | GA
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Zip | 30180-5743
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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/ CEO
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Name | BRIANNA LEVESTON
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Credential |
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Telephone | 770-858-8407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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