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General NPI Number Information
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NPI Number | 1952196354
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Entity Type | Organization
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Legal Business Name | INCLUSIVE ABA TX LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 12830 HILLCREST RD STE 111
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City | DALLAS
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State | TX
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Zip | 75230-1547
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Country | US
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Telephone | 303-616-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 PROSPECT ST STE 603
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4642
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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 | VP OF OPERATIONS
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Name | JUDY MILLER
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Credential |
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Telephone | 303-616-1188
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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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