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NPI 1891659256

NPI 1891659256 : B.ELAN ABA THERAPY LLC : CEDAR PARK, TX

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General NPI Number Information
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    NPI Number           |    1891659256
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    Entity Type          |    Organization 
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    Legal Business Name  |    B.ELAN ABA THERAPY LLC 
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Dates
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    Enumeration Date     |    12/10/2025
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    1400 BUR OAK CV 
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    City                 |    CEDAR PARK
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    State                |    TX
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    Zip                  |    78613-5124
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    Country              |    US
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    Telephone            |    225-239-0730
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1400 BUR OAK CV 
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    City                 |    CEDAR PARK
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    State                |    TX
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    Zip                  |    78613-5124
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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    |    OWNER
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    Name                 |     RAMAJANA  HAMULIC 
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    Credential           |    BCBA
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    Telephone            |    225-239-0730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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