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NPI 1639021694

NPI 1639021694 : PROGRESS UP ABA LLC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1639021694
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    Entity Type          |    Organization 
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    Legal Business Name  |    PROGRESS UP ABA LLC 
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Dates
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    Enumeration Date     |    02/12/2026
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    Last Update Date     |    02/12/2026
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Provider Practice Location Address
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    Address Line         |    699 E 4TH ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11218-5703
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    Country              |    US
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    Telephone            |    917-405-1348
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1959 53RD ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11204-1744
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    Country              |    US
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    Telephone            |    917-405-1348
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHAYA  GUTWEIN 
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    Credential           |    MA
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    Telephone            |    917-405-1348
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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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