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General NPI Number Information
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NPI Number | 1700653391
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Entity Type | Organization
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Legal Business Name | STRIVE-N-THRIVE ABA, LLC
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 167 LAS MITRAS LN
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City | BROWNSVILLE
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State | TX
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Zip | 78521-5682
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Country | US
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Telephone | 956-346-4435
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Fax |
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Provider Business Mailing Address
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Address Line | 167 LAS MITRAS LN
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City | BROWNSVILLE
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State | TX
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Zip | 78521-5682
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Country | US
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Telephone | 956-346-4435
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Fax |
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Authorized Official
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Title or Position | LICENSED BEHAVIOR ANALYST
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Name | MAURO ALEJANDRO LOPEZ
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Credential |
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Telephone | 956-525-3173
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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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