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General NPI Number Information
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NPI Number | 1871725226
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Entity Type | Organization
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Legal Business Name | APPLIED BEHAVIORAL CONCEPTS, INC.
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Dates
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Enumeration Date | 08/19/2009
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Last Update Date | 10/17/2017
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Provider Practice Location Address
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Address Line | 906 ROUTE 33
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City | FREEHOLD
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State | NJ
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Zip | 07728-8435
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Country | US
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Telephone | 732-918-0850
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Fax | 732-918-0091
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Provider Business Mailing Address
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Address Line | 936 ROUTE 33
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-918-0850
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Fax | 732-918-0091
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHELE GOODMAN
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Credential | M. ED
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Telephone | 732-918-0850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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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 | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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