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General NPI Number Information
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NPI Number | 1528919008
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Entity Type | Organization
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Legal Business Name | K&A PSYCHOLOGY GROUP LLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 301 BEECH ST APT 2H
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City | HACKENSACK
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State | NJ
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Zip | 07601-2137
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Country | US
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Telephone | 646-206-4548
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Fax |
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Provider Business Mailing Address
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Address Line | 301 BEECH ST APT 2H
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City | HACKENSACK
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State | NJ
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Zip | 07601-2137
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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 | PSYCHOLOGIST
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Name | KRISTINA AGANOVA
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Credential | PSYD
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Telephone | 646-206-4548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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