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General NPI Number Information
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NPI Number | 1831071745
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Entity Type | Organization
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Legal Business Name | LIFE SKILLS APPLIED BEHAVIOR ANALYSIS AND PSYCHOLOGICAL SERVICES, PC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 65 HILTON AVE STE 300
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City | GARDEN CITY
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State | NY
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Zip | 11530-2817
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Country | US
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Telephone | 516-294-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 65 HILTON AVE STE 300
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City | GARDEN CITY
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State | NY
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Zip | 11530-2817
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Country | US
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Telephone | 516-294-5000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY FELIXBROD
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Credential | PHD
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Telephone | 516-294-5000
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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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