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General NPI Number Information
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NPI Number | 1700745478
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Entity Type | Individual
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Provider Name | ASHLEY MARIE BRENNAN BCABA
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 503 HOPE CHAPEL RD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1559
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Country | US
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Telephone | 732-353-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 503 HOPE CHAPEL RD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1559
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Country | US
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Telephone | 732-353-1616
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-25-16671
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License Number State | NJ
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