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General NPI Number Information
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NPI Number | 1144178062
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Entity Type | Organization
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Legal Business Name | BCABA
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 7108 SOUTH KANNER HWY, STUART, FL 34997-7462 7108 SOUTH KANNER HWY, STUART, FL 34997-7462
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City | FLORIDA
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State | FL
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Zip | 34997-7462
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 2716 SUNNY SKY LN SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87121-2617
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Country | US
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Telephone | 505-304-9137
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Fax |
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Authorized Official
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Title or Position | BCABA
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Name | YAMILETH J MADRID
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Credential | BCABA
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Telephone | 505-304-9137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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