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General NPI Number Information
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NPI Number | 1700533064
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Entity Type | Individual
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Provider Name | STEPHANIE HERRERA MA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 580 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4468
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Country | US
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Telephone | 305-400-1589
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Fax |
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Provider Business Mailing Address
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Address Line | 741 NW 98TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6118
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Country | US
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Telephone | 786-479-4967
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | RBT-19-95839
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License Number State | FL
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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 | 1-24-75467
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License Number State | FL
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