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General NPI Number Information
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NPI Number | 1730756586
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Entity Type | Organization
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Legal Business Name | AMPLE JOY ABA CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 5407 WILSHIRE BLVD STE 1049
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City | LOS ANGELES
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State | CA
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Zip | 90036-4203
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Country | US
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Telephone | 877-708-2385
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Fax |
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Provider Business Mailing Address
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Address Line | 14605 RICK LN
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City | EASTVALE
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State | CA
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Zip | 92880-3544
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NNEKA NWANI
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Credential |
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Telephone | 951-801-0549
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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