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General NPI Number Information
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NPI Number | 1902153141
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Entity Type | Organization
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Legal Business Name | THE 13TH CHILD AUTISM & BEHAVIORAL COACHING, INC.
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 8346 118TH ST SUITE 2H
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City | KEW GARDENS
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State | NY
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Zip | 11415-2370
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Country | US
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Telephone | 718-316-8057
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Fax |
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Provider Business Mailing Address
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Address Line | 8346 118TH ST SUITE 2H
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City | KEW GARDENS
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State | NY
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Zip | 11415-2370
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Country | US
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Telephone | 718-316-8057
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Fax |
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Authorized Official
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Title or Position | OWNER, CONSULTANT
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Name | MISS REBECCA M MCKEE
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Credential | MSED ACBA
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Telephone | 718-316-8057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 893773
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License Number State | NY
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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 | 1893773
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License Number State | NY
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