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General NPI Number Information
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NPI Number | 1699632919
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Entity Type | Organization
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Legal Business Name | REBECCA'S ABA PLAY CA LLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 901 SUNRISE AVE STE A16
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City | ROSEVILLE
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State | CA
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Zip | 95661-4541
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Country | US
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Telephone | 718-503-2501
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Fax |
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Provider Business Mailing Address
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Address Line | 7547 181ST ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1609
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | AVI LEVY
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Credential |
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Telephone | 718-503-2501
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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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