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NPI 1952971418

NPI 1952971418 : HEARTS ABA SERVICES LLC : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1952971418
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEARTS ABA SERVICES LLC 
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Dates
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    Enumeration Date     |    06/28/2021
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    Last Update Date     |    08/04/2022
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Provider Practice Location Address
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    Address Line         |    6433 E WASHINGTON ST STE 111 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46219-6627
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    Country              |    US
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    Telephone            |    718-693-9032
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4403 15TH AVE STE 236 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11219-1604
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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 DIRECTOR
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    Name                 |     ZEV  HOROWITZ 
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    Credential           |    
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    Telephone            |    718-612-1080
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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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