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General NPI Number Information
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NPI Number | 1609591379
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Entity Type | Organization
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Legal Business Name | EXPECTATIONS REIMAGINED LLC
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 260 BASKERVILLE CT
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City | SEVERNA PARK
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State | MD
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Zip | 21146-2125
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Country | US
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Telephone | 410-271-0056
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Fax |
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Provider Business Mailing Address
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Address Line | 260 BASKERVILLE CT
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City | SEVERNA PARK
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State | MD
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Zip | 21146-2125
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Country | US
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Telephone | 410-271-0056
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA FARE
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Credential | BCBA, LBA
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Telephone | 410-271-0056
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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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