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General NPI Number Information
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NPI Number | 1619857588
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Entity Type | Organization
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Legal Business Name | COMMIT TO CHANGE ABA THERAPY AND CONSULTING, LLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1310 MAIN AVE S STE 112
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City | BROOKINGS
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State | SD
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Zip | 57006-3894
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Country | US
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Telephone | 605-270-7881
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Fax |
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Provider Business Mailing Address
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Address Line | 46322 217TH ST
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City | VOLGA
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State | SD
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Zip | 57071-6904
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Country | US
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Telephone | 605-270-7881
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | HEATHER A ASMUSSEN
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Credential | BCBA
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Telephone | 605-270-7881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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