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General NPI Number Information
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NPI Number | 1962193862
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Entity Type | Organization
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Legal Business Name | ADS AUTISM THERAPY INC
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Dates
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Enumeration Date | 05/19/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 10200 S CICERO AVE
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City | OAK LAWN
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State | IL
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Zip | 60453-4000
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Country | US
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Telephone | 773-998-9898
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Fax |
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Provider Business Mailing Address
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Address Line | 16807 ROBIN LN
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City | ORLAND PARK
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State | IL
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Zip | 60467-8820
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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 | PRESIDENT
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Name | FADI TARABIAH
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Credential |
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Telephone | 773-998-9898
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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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