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General NPI Number Information
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NPI Number | 1942166244
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Entity Type | Organization
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Legal Business Name | KANSAS AUTISM CARE LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 5 PARAGON DR STE 105
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City | MONTVALE
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State | NJ
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Zip | 07645-1739
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Country | US
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Telephone | 845-327-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 5 PARAGON DR STE 105
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City | MONTVALE
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State | NJ
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Zip | 07645-1739
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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 | CLINICAL EXECUTIVE DIRECTOR
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Name | ESTELLE PARNES
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Credential | MA/LBA/BCBA
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Telephone | 845-327-7111
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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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