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General NPI Number Information
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NPI Number | 1730796533
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Entity Type | Organization
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Legal Business Name | GOLDEN STEPS ABA MD LLC
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 6700 ALEXANDER BELL DR
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City | COLUMBIA
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State | MD
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Zip | 21046-2122
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Country | US
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Telephone | 410-705-0227
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Fax | 646-894-1116
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Provider Business Mailing Address
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Address Line | 600 3RD AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10016-1919
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Country | US
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Telephone | 646-873-6600
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | REBECCA E ROSS
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Credential |
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Telephone | 615-570-9959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 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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