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General NPI Number Information
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NPI Number | 1992023154
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Entity Type | Organization
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Legal Business Name | SUCCESS ACROSS THE SPECTRUM
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 287 GEMINI DR UNIT 4A
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4974
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Country | US
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Telephone | 609-577-3722
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Fax | 908-829-4473
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Provider Business Mailing Address
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Address Line | 287 GEMINI DR UNIT 4A
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4974
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Country | US
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Telephone | 609-577-3722
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Fax | 908-829-4473
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Authorized Official
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Title or Position | BCBA
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Name | MS. NICOLE LUBAS
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Credential |
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Telephone | 609-577-3722
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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 | NJ
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