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General NPI Number Information
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NPI Number | 1962288266
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Entity Type | Organization
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Legal Business Name | ASPIRE ABA THERAPY GA LLC
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Dates
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Enumeration Date | 09/04/2023
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 1870 THE EXCHANGE SE STE 200
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City | ATLANTA
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State | GA
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Zip | 30339-2021
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Country | US
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Telephone | 732-606-6681
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Fax |
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Provider Business Mailing Address
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Address Line | 1999 CEDARBRIDGE AVE STE 3B
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City | LAKEWOOD
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State | NJ
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Zip | 08701-6915
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Country | US
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Telephone | 732-606-6681
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | BAT SHEVA LESHINSKY
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Credential |
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Telephone | 732-606-6681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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