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General NPI Number Information
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NPI Number | 1548929086
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Entity Type | Organization
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Legal Business Name | LET'S DO ABA LLC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1401 SE GOLDTREE DR STE 101
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-7584
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Country | US
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Telephone | 772-212-7539
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Fax | 772-673-8392
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Provider Business Mailing Address
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Address Line | 1401 SE GOLDTREE DR STE 101
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-7584
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Country | US
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Telephone | 772-212-7539
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Fax | 772-673-8392
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Authorized Official
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Title or Position | MEMBER
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Name | MRS. JEISEL VAZQUEZ RODRIGUEZ
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Credential |
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Telephone | 407-716-8652
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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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