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NPI 1720806995

NPI 1720806995 : ALBRIGHT ABA LLC : WESTFIELD, IN

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General NPI Number Information
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    NPI Number           |    1720806995
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALBRIGHT ABA LLC 
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Dates
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    Enumeration Date     |    09/27/2024
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    Last Update Date     |    09/27/2024
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Provider Practice Location Address
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    Address Line         |    4728 ANDOVER PKWY 
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    City                 |    WESTFIELD
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    State                |    IN
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    Zip                  |    46062-9224
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    Country              |    US
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    Telephone            |    262-443-3500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4728 ANDOVER PKWY 
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    City                 |    WESTFIELD
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    State                |    IN
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    Zip                  |    46062-9224
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    Country              |    US
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    Telephone            |    262-443-3500
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |     NATHAN ALLEN ALBRIGHT 
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    Credential           |    
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    Telephone            |    262-443-3500
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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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