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General NPI Number Information
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NPI Number | 1558188243
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Entity Type | Organization
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Legal Business Name | AVELA HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/24/2024
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 100 CHARLES EWING BLVD STE 160
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City | TRENTON
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State | NJ
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Zip | 08628-3456
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Country | US
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Telephone | 855-328-5931
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Fax | 209-778-4640
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Provider Business Mailing Address
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Address Line | 20500 BELSHAW AVE
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City | CARSON
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State | CA
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Zip | 90746-3506
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Country | US
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Telephone | 734-545-3531
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Fax |
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Authorized Official
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Title or Position | COO
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Name | KATHERINE MONTI
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Credential | MSW, MPH
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Telephone | 734-545-3531
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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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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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