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NPI 1710857008

NPI 1710857008 : MAHALO ABA INC : HOLLYWOOD, FL

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General NPI Number Information
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    NPI Number           |    1710857008
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAHALO ABA INC 
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Dates
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    Enumeration Date     |    11/11/2025
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    4601 SHERIDAN ST STE 501 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-3435
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    Country              |    US
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    Telephone            |    866-352-5010
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    500 ALA MOANA BLVD STE 7400 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-4902
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    Country              |    US
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    Telephone            |    866-352-5010
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     YECHESKEL YAKOV  HALBERSTAM 
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    Credential           |    
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    Telephone            |    866-352-5010
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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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