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General NPI Number Information
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NPI Number | 1841716933
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Entity Type | Organization
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Legal Business Name | APPLIED BEHAVIORAL ANALYSIS SERVICES
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | 409 MAIN ST STE 121
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City | AMHERST
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State | MA
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Zip | 01002-2347
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Country | US
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Telephone | 413-461-7120
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Fax | 610-862-9094
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Provider Business Mailing Address
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Address Line | 9 HUNT RD
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City | NEW SALEM
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State | MA
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Zip | 01355-5507
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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 | EXECUTIVE DIRECTOR
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Name | JESSICA A CHMYZINSKI
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Credential | BCBA, LABA
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Telephone | 413-461-7120
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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 | 1002
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License Number State | MA
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