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General NPI Number Information
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NPI Number | 1386408581
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Entity Type | Organization
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Legal Business Name | NEURABA THERAPY SERVICES INC.
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 16711 SW 95TH ST UNIT# 1ST FLOOR
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City | MIAMI
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State | FL
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Zip | 33196-4757
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Country | US
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Telephone | 305-639-8701
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Fax |
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Provider Business Mailing Address
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Address Line | 16711 SW 95TH ST UNIT# 1ST FLOOR
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City | MIAMI
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State | FL
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Zip | 33196-4757
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Country | US
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Telephone | 305-639-8701
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIAN DEL CARMEN HERNANDEZ VILATO
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Credential | BCBA
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Telephone | 772-634-5887
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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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