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General NPI Number Information
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NPI Number | 1821976358
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Entity Type | Organization
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Legal Business Name | GROWING FOUNDATIONS ABA THERAPY LLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 883 POOLE AVE
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City | HAZLET
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State | NJ
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Zip | 07730-2040
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Country | US
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Telephone | 732-675-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 985 W FRONT ST
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City | RED BANK
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State | NJ
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Zip | 07701-5615
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Country | US
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Telephone | 732-675-2266
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GIUSEPPE FAZIO
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Credential |
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Telephone | 732-675-2266
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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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