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General NPI Number Information
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NPI Number | 1801757356
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Entity Type | Organization
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Legal Business Name | ABLE STARS ABA
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Dates
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Enumeration Date | 11/22/2025
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 2906 WOODLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-6407
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Country | US
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Telephone | 667-383-5681
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Fax |
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Provider Business Mailing Address
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Address Line | 2906 WOODLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-6407
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Country | US
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Telephone | 667-383-5681
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Fax |
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Authorized Official
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Title or Position | REGISTERED BEHAVIOR TECH
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Name | JORDAN CHARLES HARRIS
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Credential |
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Telephone | 667-383-5681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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