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General NPI Number Information
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NPI Number | 1720802556
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Entity Type | Organization
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Legal Business Name | NOVA ABA SOLUTIONS LLC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 19009 NW 23RD ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-5329
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Country | US
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Telephone | 786-567-2657
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Fax | 954-425-9785
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Provider Business Mailing Address
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Address Line | 2598 E SUNRISE BLVD UNIT 2104
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City | FT LAUDERDALE
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State | FL
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Zip | 33304-3230
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Country | US
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Telephone | 786-567-2657
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WENDY PRADO
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Credential |
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Telephone | 786-567-2657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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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