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General NPI Number Information
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NPI Number | 1144009572
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Entity Type | Organization
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Legal Business Name | FL ABA SERVICES LLC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 117 NE 1ST AVE FL 9 #1017
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City | MIAMI
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State | FL
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Zip | 33132-2125
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Country | US
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Telephone | 645-202-6009
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Fax | 645-225-9441
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Provider Business Mailing Address
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Address Line | 117 NE 1ST AVE FL 9 #1017
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City | MIAMI
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State | FL
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Zip | 33132-2125
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Country | US
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Telephone | 645-202-6009
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Fax | 645-225-9441
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Authorized Official
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Title or Position | OWNER
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Name | ISSAC WEIDER
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Credential |
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Telephone | 645-202-6009
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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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