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General NPI Number Information
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NPI Number | 1609696111
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Entity Type | Organization
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Legal Business Name | SPRINGBOARD ABA LLC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 10801 PAUL EELLS DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72113-7608
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Country | US
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Telephone | 845-633-4539
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Fax |
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Provider Business Mailing Address
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Address Line | 300 N MAIN ST STE 303
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City | SPRING VALLEY
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State | NY
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Zip | 10977-3774
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Country | US
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Telephone | 845-633-4539
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. MARK FEUER
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Credential |
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Telephone | 845-633-4539
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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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