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General NPI Number Information
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NPI Number | 1932806635
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Entity Type | Organization
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Legal Business Name | ELEMENTAL ABA, INC.
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 338 RIVER ST
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City | NORWELL
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State | MA
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Zip | 02061-2205
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Country | US
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Telephone | 781-996-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 338 RIVER ST
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City | NORWELL
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State | MA
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Zip | 02061-2205
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Country | US
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Telephone | 781-996-0044
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Fax |
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Authorized Official
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Title or Position | CEO, BEHAVIOR ANALYST
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Name | SUSAN HABCHY
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Credential | BCBA,LABA
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Telephone | 781-996-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #7
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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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