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General NPI Number Information
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NPI Number | 1477234466
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Entity Type | Organization
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Legal Business Name | EMBRACE PATHWAYS ABA ORLANDO LLC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 14175 JOMATT LOOP
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City | WINTER GARDEN
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State | FL
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Zip | 34787-0072
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Country | US
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Telephone | 781-420-9953
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Fax |
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Provider Business Mailing Address
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Address Line | 14175 JOMATT LOOP
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City | WINTER GARDEN
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State | FL
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Zip | 34787-0072
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Country | US
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Telephone | 781-420-9953
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | GABRIELA MELLO MUNIZ
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Credential |
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Telephone | 781-420-9953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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