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NPI Code Detail

MEDICARE: AVENUES ABA MO LLC

MEDICARE: AVENUES ABA MO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1740131838
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVENUES ABA MO LLC
Provider Business Mailing Address
First Line : 7777 BONHOMME AVE STE 1800
Second Line :
City : CLAYTON
State : MO
Zip : 63105-1931
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7777 BONHOMME AVE STE 1800
Second Line :
City : CLAYTON
State : MO
Zip : 63105-1931
Country : US
Telephone Number : 443-688-9534
Fax Number :
Authorized Official
Title or Position : COO
Name : NAFTALI FIREMAN
Credential :
Telephone Number : 443-688-9534
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “AVENUES ABA MO LLC ” Practice Location

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