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NPI 1215632690

NPI 1215632690 : AA MENTAL HEALTH SERVICES INC : PEMBROKE PINES, FL

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General NPI Number Information
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    NPI Number           |    1215632690
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    Entity Type          |    Organization 
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    Legal Business Name  |    AA MENTAL HEALTH SERVICES INC 
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Dates
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    Enumeration Date     |    04/04/2023
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    Last Update Date     |    01/17/2024
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Provider Practice Location Address
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    Address Line         |    2010 NW 150TH AVE STE 201 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33028-2888
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    Country              |    US
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    Telephone            |    786-261-2139
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    Fax                  |    855-915-0250
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Provider Business Mailing Address
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    Address Line         |    2010 NW 150TH AVE STE 210 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33028-2888
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    Country              |    US
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    Telephone            |    786-420-9060
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ANA ELVIRA ALVAREZ ACOSTA 
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    Credential           |    
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    Telephone            |    786-420-9060
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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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