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General NPI Number Information
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NPI Number | 1659134781
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Entity Type | Organization
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Legal Business Name | COMPASS CENTER FOR AUTISM & ABA SERVICES
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 906 STATE ROUTE 33
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City | FREEHOLD
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State | NJ
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Zip | 07728-8435
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Country | US
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Telephone | 908-422-1724
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Fax |
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Provider Business Mailing Address
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Address Line | 186 ROUTE 537
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City | COLTS NECK
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State | NJ
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Zip | 07722-1678
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Country | US
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Telephone | 908-422-1724
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. SAMIR POPAL
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Credential |
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Telephone | 908-422-1724
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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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