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General NPI Number Information
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NPI Number | 1609710938
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Entity Type | Organization
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Legal Business Name | NEUROINCLUSIVE ABA LLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 7053 S SANTA CRUZ DR APT 21 21
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-6687
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Country | US
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Telephone | 385-598-5237
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Fax |
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Provider Business Mailing Address
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Address Line | 7053 S SANTA CRUZ DR APT 21 21
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-6687
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Country | US
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Telephone | 385-598-5237
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KYLE SMITH
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Credential | MASTERS IN ABA
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Telephone | 385-598-5237
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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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