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General NPI Number Information
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NPI Number | 1780216952
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Entity Type | Organization
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Legal Business Name | ABA RESIDENTIAL
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 127 RED LION RD
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City | SOUTHAMPTON
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State | NJ
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Zip | 08088-8830
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Country | US
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Telephone | 609-685-3973
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Fax | 609-300-6003
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Provider Business Mailing Address
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Address Line | 127 RED LION RD
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City | SOUTHAMPTON
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State | NJ
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Zip | 08088-8830
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Country | US
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Telephone | 609-685-3973
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Fax | 609-300-6003
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JUSTIN BEYER
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Credential | BCBA
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Telephone | 609-685-3973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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