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NPI Code Detail

MEDICARE: ORCHARD ABA, LLC

MEDICARE: ORCHARD ABA, 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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639669666
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORCHARD ABA, LLC
Provider Business Mailing Address
First Line : 1315 SOUTHWOOD PLANTATION RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-4013
Country : US
Telephone Number : 850-815-8800
Fax Number : 850-344-9900
Provider Business Practice Location Address
First Line : 1315 SOUTHWOOD PLANTATION RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-4013
Country : US
Telephone Number : 850-815-8800
Fax Number : 850-344-9900
Authorized Official
Title or Position : OWNER
Name : AIMEE ROBERTS
Credential : BCBA 01-15-20959
Telephone Number : 850-815-8800
Provider Enumeration Date : 05/15/2018
Last Update Date : 03/18/2026

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Directions to “ORCHARD ABA, LLC ” Practice Location

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