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General NPI Number Information
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NPI Number | 1689485922
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Entity Type | Organization
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Legal Business Name | BE UNIQUE ABA LLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 1805 CARLISLE BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4905
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Country | US
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Telephone | 505-221-6559
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Fax |
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Provider Business Mailing Address
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Address Line | 800 WAGON TRAIN DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-4140
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Country | US
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Telephone | 626-297-5284
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/DIRECTOR
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Name | BEAU DANIEL CORBRIDGE RITCHIE
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Credential |
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Telephone | 626-297-5284
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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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Taxonomy #2
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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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