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General NPI Number Information
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NPI Number | 1609235910
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Entity Type | Organization
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Legal Business Name | ABA INTERVENTIONS, LLC
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 04/14/2016
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Provider Practice Location Address
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Address Line | 120 S DAVID LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-3203
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Country | US
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Telephone | 901-517-8269
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Fax | 865-525-7494
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Provider Business Mailing Address
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Address Line | 120 S DAVID LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-3203
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Country | US
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Telephone | 901-517-8269
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Fax | 865-525-7494
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | ELIZABETH ANN GINDER
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Credential | MSSW, BCBA
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Telephone | 901-517-8269
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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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