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General NPI Number Information
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NPI Number | 1710388434
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Entity Type | Organization
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Legal Business Name | JOURNEYS ABA
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 110 S YALE AVE
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-1625
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Country | US
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Telephone | 772-442-2485
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Fax |
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Provider Business Mailing Address
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Address Line | 110 S YALE AVE
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-1625
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Country | US
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Telephone | 772-442-2485
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNIFER SAUVIAC WEBB
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Credential | BCBA
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Telephone | 773-442-2485
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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 | 1-08-4505
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License Number State |
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