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General NPI Number Information
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NPI Number | 1841090917
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Entity Type | Organization
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Legal Business Name | ACTUS ABA LLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 40 N ALTADENA DR STE 102D
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City | PASADENA
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State | CA
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Zip | 91107-3386
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Country | US
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Telephone | 213-207-6630
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Fax |
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Provider Business Mailing Address
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Address Line | 611 WILSHIRE BLVD STE 900
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City | LOS ANGELES
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State | CA
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Zip | 90017-2905
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Country | US
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Telephone | 213-207-6630
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS LAYLA ALI
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Credential |
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Telephone | 763-318-4915
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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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