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NPI 1588524631

NPI 1588524631 : WHITE LIGHT ABA LLC : GREENWICH, NY

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General NPI Number Information
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    NPI Number           |    1588524631
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHITE LIGHT ABA LLC 
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Dates
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    Enumeration Date     |    11/12/2025
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    Last Update Date     |    11/12/2025
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Provider Practice Location Address
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    Address Line         |    60 VAN NESS AVE 
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    City                 |    GREENWICH
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    State                |    NY
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    Zip                  |    12834-1212
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    Country              |    US
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    Telephone            |    413-409-1911
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    60 VAN NESS AVE 
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    City                 |    GREENWICH
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    State                |    NY
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    Zip                  |    12834-1212
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    Country              |    US
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    Telephone            |    413-409-1911
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |     GERI SUE LEPORATI 
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    Credential           |    MS, LBA, BCBA
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    Telephone            |    413-409-1911
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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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