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General NPI Number Information
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NPI Number | 1386142347
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Entity Type | Organization
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Legal Business Name | ABA ANALYST GROUP INC
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 14671 SW 114TH TER
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City | MIAMI
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State | FL
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Zip | 33186-7038
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Country | US
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Telephone | 786-474-2130
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Fax | 305-503-9624
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Provider Business Mailing Address
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Address Line | 14671 SW 114TH TER
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City | MIAMI
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State | FL
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Zip | 33186-7038
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Country | US
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Telephone | 786-474-2130
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Fax | 305-503-9624
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | ALEXANDER HERNANDEZ ACOSTA
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Credential | BCABA # 0-17-7787
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Telephone | 786-505-3861
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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 | 0-17-7787
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License Number State | FL
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