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General NPI Number Information
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NPI Number | 1730032921
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Entity Type | Organization
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Legal Business Name | HORIZON BLUE ABA VA LLC
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 425 W WASHINGTON ST
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City | SUFFOLK
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State | VA
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Zip | 23434-5320
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Country | US
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Telephone | 718-212-0222
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Fax | 718-715-0330
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Provider Business Mailing Address
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Address Line | 283 LENOX AVE
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City | LONG BRANCH
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State | NJ
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Zip | 07740-5022
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Country | US
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Telephone | 718-212-0222
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Fax | 718-715-0330
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Authorized Official
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Title or Position | CEO
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Name | SOLOMON BAILEY
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Credential |
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Telephone | 718-212-0222
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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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