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General NPI Number Information
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NPI Number | 1760245773
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Entity Type | Organization
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Legal Business Name | MAJESTIC CARE ABA LLC
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 203 W FRANCISCAN DR
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City | CROWN POINT
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State | IN
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Zip | 46307-4802
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Country | US
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Telephone | 718-380-8882
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Fax |
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Provider Business Mailing Address
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Address Line | 15813 72ND AVE FL 2
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City | FLUSHING
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State | NY
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Zip | 11365-4100
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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 | OFFICER
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Name | DAVID SLIFKIN
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Credential |
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Telephone | 917-273-7985
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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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