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General NPI Number Information
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NPI Number | 1790501153
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Entity Type | Organization
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Legal Business Name | YES ABA GA LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 2727 PACES FERRY RD SE STE 750
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City | ATLANTA
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State | GA
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Zip | 30339-4053
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Country | US
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Telephone | 347-699-2092
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 995
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City | LAKEWOOD
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State | NJ
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Zip | 08701-0995
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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 | MANAGER
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Name | MORDECHAI SZANZER
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Credential |
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Telephone | 347-699-2092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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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