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General NPI Number Information
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NPI Number | 1740097005
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Entity Type | Organization
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Legal Business Name | ASPIRE ABA THERAPY MD LLC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 6340 SECURITY BLVD STE 100
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City | BALTIMORE
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State | MD
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Zip | 21207-5284
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Country | US
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Telephone | 301-798-4375
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Fax |
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Provider Business Mailing Address
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Address Line | 1999 CEDARBRIDGE AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-7048
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Country | US
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Telephone | 800-883-9087
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Fax | 732-960-5071
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Authorized Official
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Title or Position | MEMBER
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Name | MISS BAT SHEVA LESHINSKY
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Credential |
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Telephone | 732-606-6681
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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