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General NPI Number Information
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NPI Number | 1801481106
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Entity Type | Organization
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Legal Business Name | STEP AHEAD ABA LLC
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 201 N ILLINOIS ST FL SQUARE16
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1904
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Country | US
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Telephone | 216-407-3651
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N ILLINOIS ST FL 16
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1904
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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 | JAY LEVIN
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Credential |
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Telephone | 317-296-7730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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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