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General NPI Number Information
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NPI Number | 1669271375
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Entity Type | Organization
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Legal Business Name | ABA PLAY IT FORWARD LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1025 SCOTTS HILL DRIVE
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City | TIKESVILLE
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State | MD
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Zip | 21208
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Country | US
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Telephone | 703-261-4322
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Fax |
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Provider Business Mailing Address
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Address Line | 5510 CHEROKEE AVE STE 300
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2320
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Country | US
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Telephone | 703-261-4322
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MICHOEL N/A STEIN
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Credential |
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Telephone | 443-547-0448
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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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