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General NPI Number Information
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NPI Number | 1922632405
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Entity Type | Organization
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Legal Business Name | LITTLE LIGHT ABA, LLC
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 01/02/2022
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Provider Practice Location Address
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Address Line | 6001 W PARMER LN STE 370 #3064
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City | AUSTIN
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State | TX
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Zip | 78727
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Country | US
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Telephone | 512-387-6380
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Fax |
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Provider Business Mailing Address
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Address Line | 6001 W PARMER LN STE 370 #3064
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City | AUSTIN
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State | TX
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Zip | 78727
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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 | PRINCIPAL
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Name | MRS. UBALDINA MOCQUANT
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Credential | BCBA, LBA
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Telephone | 512-387-6380
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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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