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General NPI Number Information
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NPI Number | 1780540526
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Entity Type | Organization
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Legal Business Name | HOUSE OF HEARTS ABA
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 4801 LANG AVE NE STE 110
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4475
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Country | US
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Telephone | 347-906-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 4974 SARAZEN DR
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City | HOLLYWOOD
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State | FL
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Zip | 33021-2266
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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 | CEO
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Name | NOAH GOLDSTEIN
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Credential |
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Telephone | 347-906-1234
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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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