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General NPI Number Information
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NPI Number | 1811803182
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Entity Type | Organization
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Legal Business Name | ABA UP AND UP MO LLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 117 S LEXINGTON ST STE 100
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2443
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Country | US
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Telephone | 505-963-6159
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Fax |
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Provider Business Mailing Address
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Address Line | 1 KITAY CT
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City | JACKSON
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State | NJ
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Zip | 08527-3957
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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 | TUVIA KORN KORN
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Credential |
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Telephone | 505-963-6159
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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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