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General NPI Number Information
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NPI Number | 1720801608
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Entity Type | Organization
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Legal Business Name | CORNERSTONE ABA CONSULTING, LLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 92 KENTUCKY AVE
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City | NORTH MIDDLETOWN
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State | NJ
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Zip | 07748-5346
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Country | US
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Telephone | 732-947-7541
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Fax |
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Provider Business Mailing Address
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Address Line | 1385 HWY 35 # 118
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2012
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Country | US
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Telephone | 732-947-7541
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANTHONY J LAROCCA II
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Credential | BCBA
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Telephone | 732-947-7541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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