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General NPI Number Information
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NPI Number | 1720919129
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Entity Type | Organization
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Legal Business Name | KIDS FIRST THERAPY NEW MEXICO LLC
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 8206 LOUISIANA BLVD NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1738
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Country | US
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Telephone | 845-425-2299
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARAGON DR STE 100
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City | MONTVALE
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State | NJ
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Zip | 07645-1728
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Country | US
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Telephone | 845-425-2299
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | SHRAGA GOLD
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Credential |
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Telephone | 845-425-2299
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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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