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General NPI Number Information
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NPI Number | 1700636057
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Entity Type | Organization
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Legal Business Name | BREAKING BARRIERS ABA LLC
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1401 21ST ST STE 6281
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 530-206-9663
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 21ST ST STE 6281
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 530-206-9663
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | GINA NICOLE OHACO
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Credential | MA, BCBA
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Telephone | 916-705-5090
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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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