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General NPI Number Information
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NPI Number | 1558288696
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Entity Type | Organization
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Legal Business Name | PROGRESS ABA INSTITUTE
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 90 PROSPECT AVE
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City | HACKENSACK
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State | NJ
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Zip | 07601-1909
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Country | US
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Telephone | 914-490-3891
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Fax |
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Provider Business Mailing Address
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Address Line | 20-18 HALSTEAD TER
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City | FAIR LAWN
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State | NJ
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Zip | 07410-4539
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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 | CLINICAL DIRECTOR/LEAD BCBA
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Name | KOKO ABSOLAM
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Credential | BCBA, MS, LBA
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Telephone | 702-591-5696
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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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