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General NPI Number Information
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NPI Number | 1578411948
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Entity Type | Organization
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Legal Business Name | BLUE STAR ABA CENTER LLC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 6020 N HUBERT AVE
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City | TAMPA
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State | FL
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Zip | 33614-5559
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Country | US
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Telephone | 813-502-9672
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Fax |
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Provider Business Mailing Address
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Address Line | 6020 N HUBERT AVE
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City | TAMPA
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State | FL
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Zip | 33614-5559
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA DEL CARMEN PEREZ NEPITE
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Credential |
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Telephone | 813-502-9672
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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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