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NPI 1942116223

NPI 1942116223 : ABA UP AND UP OK LLC : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1942116223
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABA UP AND UP OK LLC 
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Dates
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    Enumeration Date     |    08/19/2026
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    Last Update Date     |    08/19/2026
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Provider Practice Location Address
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    Address Line         |    9905 S PENNSYLVANIA AVE STE A 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73159-6920
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    Country              |    US
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    Telephone            |    505-963-6159
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    Fax                  |    505-963-6159
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Provider Business Mailing Address
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    Address Line         |    1 KITAY CT 
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    City                 |    JACKSON
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    State                |    NJ
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    Zip                  |    08527-3957
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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    |    CEO
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    Name                 |     TUVIA KORN  KORN 
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    Credential           |    
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    Telephone            |    505-963-6159
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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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