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General NPI Number Information
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NPI Number | 1700401775
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Entity Type | Organization
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Legal Business Name | ABA TELEHEALTH PROJECT, LLC
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 29 VALLEY DRIVE #5004
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City | GREENWICH
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State | CT
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Zip | 06831
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Country | US
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Telephone | 203-489-5312
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Fax |
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Provider Business Mailing Address
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Address Line | 29 VALLEY DRIVE #5004
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City | GREENWICH
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State | CT
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Zip | 06831-7744
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Country | US
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Telephone | 203-489-5312
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN LAFFER
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Credential | PHD, BCBA, LBA
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Telephone | 203-489-5312
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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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