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General NPI Number Information
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NPI Number | 1447118880
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Entity Type | Organization
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Legal Business Name | SUNRISE ABA THERAPY SERVICES LLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 18615 105TH RD
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City | MC ALPIN
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State | FL
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Zip | 32062-2524
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Country | US
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Telephone | 786-459-0397
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Fax |
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Provider Business Mailing Address
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Address Line | 18615 105TH RD
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City | MC ALPIN
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State | FL
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Zip | 32062-2524
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Country | US
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Telephone | 786-459-0397
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | LISBEY MONTANEZ LAFITA
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Credential |
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Telephone | 786-459-0397
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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 | 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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Taxonomy #3
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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