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General NPI Number Information
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NPI Number | 1578385530
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Entity Type | Organization
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Legal Business Name | WE-ACHIEVE
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 119 S WESTERN AVE UNIT 1
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City | CHICAGO
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State | IL
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Zip | 60612-4644
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Country | US
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Telephone | 718-419-9545
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Fax |
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Provider Business Mailing Address
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Address Line | 47 CITADEL DR
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City | JACKSON
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State | NJ
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Zip | 08527-1813
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Country | US
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Telephone | 718-419-9545
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. AARON BERGER
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Credential | BCBA
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Telephone | 718-419-9545
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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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