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General NPI Number Information
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NPI Number | 1649947656
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Entity Type | Organization
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Legal Business Name | IGNITED MINDS ABA INC
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 900 COX RD STE C
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City | GASTONIA
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State | NC
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Zip | 28054-3433
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Country | US
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Telephone | 828-455-3446
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Fax | 704-594-1874
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Provider Business Mailing Address
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Address Line | PO BOX 355
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City | DALLAS
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State | NC
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Zip | 28034-0355
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Country | US
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Telephone | 828-455-3446
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAUL ALAN ROUTHIER
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Credential |
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Telephone | 828-455-3446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #7
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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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