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General NPI Number Information
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NPI Number | 1952942591
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Entity Type | Organization
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Legal Business Name | ASCEND AUTISM BEHAVIORAL SERVICES, PLLC
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 280 DAVIS AVE # 1
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City | GREENWICH
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State | CT
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Zip | 06830-6347
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Country | US
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Telephone | 516-721-4392
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Fax |
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Provider Business Mailing Address
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Address Line | 280 DAVIS AVE # 1
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City | GREENWICH
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State | CT
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Zip | 06830-6347
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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 | MANAGER
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Name | NATHAN KRONFORST
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Credential |
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Telephone | 617-233-9907
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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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