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General NPI Number Information
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NPI Number | 1710742226
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND ABA CONSULTING LLC
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 1408 SHADY TREE WAY
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City | CHESAPEAKE
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State | VA
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Zip | 23323-2942
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Country | US
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Telephone | 703-884-0676
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Fax |
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Provider Business Mailing Address
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Address Line | 4445 CORPORATION LN STE 264
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3671
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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 | BCBA
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Name | RITHLY JOACHIM
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Credential |
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Telephone | 703-884-0676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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