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General NPI Number Information
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NPI Number | 1871879379
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Entity Type | Organization
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Legal Business Name | ANALYTICAL BEHAVIOR CONSULTANTS
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 1340 E 28TH ST SUITE B
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City | OAKLAND
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State | CA
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Zip | 94606-3268
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Country | US
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Telephone | 617-840-3871
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 E 28TH ST SUITE B
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City | OAKLAND
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State | CA
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Zip | 94606-3268
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Country | US
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Telephone | 617-840-3871
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR ANALST/ EXECUTIVE DIRECTOR
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Name | MR. ERIK D GRASSO
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Credential | M.A., BCBA
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Telephone | 617-840-3871
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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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