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General NPI Number Information
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NPI Number | 1780489153
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Entity Type | Organization
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Legal Business Name | FIREFLY ABA
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 148 W 23RD ST APT 5H
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City | NEW YORK
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State | NY
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Zip | 10011-2461
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Country | US
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Telephone | 516-640-7240
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Fax |
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Provider Business Mailing Address
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Address Line | 12020 SHAMROCK PLZ STE 693867
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City | OMAHA
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State | NE
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Zip | 68154-3537
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Country | US
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Telephone | 516-640-7240
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MICHAEL LITUCHY
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Credential |
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Telephone | 516-640-7240
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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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