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General NPI Number Information
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NPI Number | 1316656283
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Entity Type | Organization
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Legal Business Name | E&J ABA THERAPY, LLC
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 13708 SUNSET HARBOR DR
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City | PEARLAND
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State | TX
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Zip | 77584-1858
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Country | US
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Telephone | 956-249-9809
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Fax |
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Provider Business Mailing Address
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Address Line | 13708 SUNSET HARBOR DR
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City | PEARLAND
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State | TX
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Zip | 77584-1858
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JACQUELINE LERMA
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Credential |
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Telephone | 956-249-9809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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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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