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General NPI Number Information
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NPI Number | 1841716099
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Entity Type | Organization
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Legal Business Name | PUZZLES AND PIECES BEHAVIORAL INTERVENTION
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Dates
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Enumeration Date | 08/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 405 W 1ST ST
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City | WEST ISLIP
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State | NY
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Zip | 11795-2412
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Country | US
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Telephone | 516-637-0235
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Fax |
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Provider Business Mailing Address
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Address Line | 405 WEST 1ST ST
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City | WEST ISLIP
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State | NY
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Zip | 11795
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Country | US
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Telephone | 516-637-0235
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Fax |
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Authorized Official
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Title or Position | FOUNDER, CEO
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Name | MELISSA HAGGERTY
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Credential | LBA., BCBA
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Telephone | 516-637-0235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 001423-1
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License Number State | NY
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