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General NPI Number Information
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NPI Number | 1891549044
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Entity Type | Organization
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Legal Business Name | AVENUES ABA MD LLC
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 199 E MONTGOMERY AVE STE 100
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City | ROCKVILLE
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State | MD
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Zip | 20850-2361
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Country | US
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Telephone | 732-569-4524
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Fax |
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Provider Business Mailing Address
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Address Line | 199 E MONTGOMERY AVE STE 100
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City | ROCKVILLE
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State | MD
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Zip | 20850-2361
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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 | COO
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Name | NAFTALI FIREMAN
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Credential |
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Telephone | 732-569-4524
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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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