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General NPI Number Information
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NPI Number | 1730774761
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Entity Type | Organization
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Legal Business Name | TOTAL CARE ABA TN LLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 6000 POPLAR AVE STE 250
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City | MEMPHIS
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State | TN
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Zip | 38119-3974
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Country | US
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Telephone | 516-670-5374
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Fax |
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Provider Business Mailing Address
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Address Line | 148 DOUGHTY BLVD STE 260
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City | INWOOD
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State | NY
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Zip | 11096-2047
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Country | US
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Telephone | 516-670-5374
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | RUBEN KESHERIM
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Credential |
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Telephone | 516-670-5374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant 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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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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