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General NPI Number Information
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NPI Number | 1851088066
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Entity Type | Organization
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Legal Business Name | MOUNT ABA NJ LLC
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2360 LAKEWOOD RD STE 2
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City | TOMS RIVER
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State | NJ
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Zip | 08755-1929
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Country | US
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Telephone | 929-236-6849
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Fax |
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Provider Business Mailing Address
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Address Line | 4403 15TH AVE STE 499
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City | BROOKLYN
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State | NY
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Zip | 11219-1604
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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 | CEO
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Name | ZALMEN LOWY
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Credential |
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Telephone | 929-236-6849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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