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General NPI Number Information
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NPI Number | 1588303267
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Entity Type | Organization
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Legal Business Name | ABA PRINCIPLES BEHAVIORAL CENTER CORP
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 18501 PINES BLVD STE 372
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1414
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Country | US
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Telephone | 954-237-8545
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Fax | 754-348-0428
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Provider Business Mailing Address
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Address Line | 18501 PINES BLVD STE 372
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1414
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Country | US
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Telephone | 954-237-8545
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Fax | 754-348-0428
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Authorized Official
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Title or Position | CEO, CLINICAL DIRECTOR
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Name | YOSELIN MARTINEZ
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Credential | BCBA
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Telephone | 561-723-2565
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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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