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General NPI Number Information
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NPI Number | 1144199662
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Entity Type | Organization
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Legal Business Name | FIRST COAST ABA SERVICES, LLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 15421 BULLOCK BLUFF RD
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City | BRYCEVILLE
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State | FL
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Zip | 32009-0020
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Country | US
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Telephone | 678-722-1239
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Fax |
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Provider Business Mailing Address
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Address Line | 15421 BULLOCK BLUFF RD
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City | BRYCEVILLE
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State | FL
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Zip | 32009-0020
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Country | US
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Telephone | 678-722-1239
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. CLAIRE FLORENCE LEDFORD
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Credential | BCBA
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Telephone | 678-722-1239
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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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