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General NPI Number Information
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NPI Number | 1942068192
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Entity Type | Organization
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Legal Business Name | ATTAIN ABA INDIANA LLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 9465 COUNSELORS ROW STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-3817
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Country | US
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Telephone | 833-599-2560
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Fax |
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Provider Business Mailing Address
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Address Line | 850 TOWBIN AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5928
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Country | US
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Telephone | 732-375-0420
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ELIEZER FRIEDMAN
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Credential |
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Telephone | 732-886-6202
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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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