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General NPI Number Information
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NPI Number | 1689488330
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Entity Type | Organization
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Legal Business Name | ASPIRING HEIGHTS ABA OF MICHIGAN LLC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 25612 WOODVILLA PL
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2046
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Country | US
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Telephone | 201-535-3498
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Fax |
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Provider Business Mailing Address
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Address Line | 21 VINCENT ST
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City | NANUET
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State | NY
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Zip | 10954-3134
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Country | US
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Telephone | 201-535-3498
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN ELCHONEN
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Credential |
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Telephone | 845-650-7008
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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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