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General NPI Number Information
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NPI Number | 1568287084
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Entity Type | Organization
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Legal Business Name | MAGICAL MILESTONES ABA THERAPY
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2167 BOLTON DR NW APT 1150
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City | ATLANTA
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State | GA
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Zip | 30318-9308
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Country | US
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Telephone | 561-789-0291
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Fax |
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Provider Business Mailing Address
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Address Line | 8735 DUNWOODY PL STE R
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 404-458-7513
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANALYST
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Name | MAGALI ISABEL TORRES
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Credential | BCBA
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Telephone | 561-789-0291
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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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