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General NPI Number Information
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NPI Number | 1346867801
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Entity Type | Organization
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Legal Business Name | ABC ALL BEHAVIOR THERAPIES, CORP
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 8950 SW 152ND ST STE 106
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City | PALMETTO BAY
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State | FL
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Zip | 33157-2066
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Country | US
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Telephone | 786-669-2619
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Fax |
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Provider Business Mailing Address
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Address Line | 8950 SW 152ND ST STE 106
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City | PALMETTO BAY
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State | FL
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Zip | 33157-2066
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Country | US
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Telephone | 786-669-2619
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TANIA SOTO MANTILLA
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Credential | BCBA
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Telephone | 786-669-2619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 221700000X
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Taxonomy Name | Art Therapist
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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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