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General NPI Number Information
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NPI Number | 1962224451
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Entity Type | Individual
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Provider Name | JAMES MCWILLIAMS BCBA
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Gender | Male
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 3324 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-5048
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Country | US
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Telephone | 516-620-5809
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Fax |
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Provider Business Mailing Address
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Address Line | 82 KILBURN RD
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City | GARDEN CITY
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State | NY
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Zip | 11530-2613
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Country | US
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Telephone | 516-510-4963
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 12258358
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License Number State | NY
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