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NPI 1992662365

NPI 1992662365 : TE(A)CH DEVELOPMENTAL AND BEHAVIORAL SUPPORTS : FAIR LAWN, NJ

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General NPI Number Information
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    NPI Number           |    1992662365
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    Entity Type          |    Organization 
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    Legal Business Name  |    TE(A)CH DEVELOPMENTAL AND BEHAVIORAL SUPPORTS 
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Dates
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    Enumeration Date     |    01/07/2026
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    14-30 PROSPECT AVE 
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    City                 |    FAIR LAWN
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    State                |    NJ
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    Zip                  |    07410-5330
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    Country              |    US
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    Telephone            |    516-209-1427
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    Fax                  |    323-372-0306
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Provider Business Mailing Address
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    Address Line         |    14-30 PROSPECT AVE 
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    City                 |    FAIR LAWN
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    State                |    NJ
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    Zip                  |    07410-5330
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    Country              |    US
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    Telephone            |    516-209-1427
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    Fax                  |    323-372-0306
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MOSHE  KATZ 
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    Credential           |    BCBA
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    Telephone            |    516-209-1427
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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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