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General NPI Number Information
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NPI Number | 1356933709
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Entity Type | Organization
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Legal Business Name | EMANUEL ABA SERVICES LLC
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1326 N DIXIE HWY STE 1
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-1839
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Country | US
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Telephone | 305-440-7162
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 LAKE WORTH RD STE 201-Q
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City | GREENACRES
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State | FL
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Zip | 33463-3204
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Country | US
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Telephone | 305-440-7162
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | EMMANUEL GOMEZ
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Credential |
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Telephone | 305-440-7162
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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