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General NPI Number Information
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NPI Number | 1720901770
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Entity Type | Organization
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Legal Business Name | KENNEDY ABA AK LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 8585 OLD DAIRY RD
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City | JUNEAU
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State | AK
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Zip | 99801-8094
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Country | US
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Telephone | 888-360-6664
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Fax | 984-266-6765
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Provider Business Mailing Address
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Address Line | 8585 OLD DAIRY RD STE 208
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City | JUNEAU
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State | AK
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Zip | 99801-8094
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Country | US
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Telephone | 888-360-6664
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Fax | 984-266-6765
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Authorized Official
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Title or Position | OWNER
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Name | YITZCHOK ISSAC CZIMENT
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Credential | CZIMENT
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Telephone | 888-360-6664
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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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Taxonomy #2
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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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