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General NPI Number Information
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NPI Number | 1760271464
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Entity Type | Organization
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Legal Business Name | EMBER ABA, PLLC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 911 FIRST COLONIAL RD # 201
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3111
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Country | US
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Telephone | 948-227-3833
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Fax |
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Provider Business Mailing Address
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Address Line | 4621A PRETTY LAKE AVE APT 307
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City | NORFOLK
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State | VA
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Zip | 23518-2055
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Country | US
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Telephone | 252-567-0713
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Fax |
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Authorized Official
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Title or Position | OWNER / BEHAVIOR ANALYST
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Name | MICHAIL MCGREGOR
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Credential |
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Telephone | 252-567-0713
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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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