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General NPI Number Information
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NPI Number | 1366276602
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND ABA SERVICES LLC
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Dates
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Enumeration Date | 08/29/2024
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 1729 SW 3RD AVE
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City | CAPE CORAL
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State | FL
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Zip | 33991-3412
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Country | US
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Telephone | 239-784-5886
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Fax |
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Provider Business Mailing Address
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Address Line | 1729 SW 3RD AVE
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City | CAPE CORAL
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State | FL
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Zip | 33991-3412
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Country | US
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Telephone | 239-784-5886
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANALYST
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Name | MR. JARON GRANT INATOME
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Credential | BCBA
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Telephone | 239-784-5886
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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