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General NPI Number Information
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NPI Number | 1528876935
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Entity Type | Organization
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Legal Business Name | TWL ELEVARE LICENSED BEHAVIOR ANALYST PLLC
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 3638 205TH ST
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City | BAYSIDE
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State | NY
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Zip | 11361-1236
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Country | US
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Telephone | 929-451-9807
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Fax |
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Provider Business Mailing Address
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Address Line | 3638 205TH ST
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City | BAYSIDE
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State | NY
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Zip | 11361-1236
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Country | US
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Telephone | 929-451-9807
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TING WEI LIAO
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Credential |
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Telephone | 929-451-9807
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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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