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General NPI Number Information
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NPI Number | 1790612752
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Entity Type | Organization
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Legal Business Name | AHEAD ABA KS
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 4601 E DOUGLAS AVE STE 150
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City | WICHITA
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State | KS
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Zip | 67218-1011
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Country | US
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Telephone | 929-884-1068
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GREEN HILL LN
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City | SPRING VALLEY
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State | NY
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Zip | 10977-1608
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Country | US
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Telephone | 929-884-1068
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUDAH EDELSTEIN
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Credential |
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Telephone | 929-884-1068
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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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