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General NPI Number Information
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NPI Number | 1770281446
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Entity Type | Organization
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Legal Business Name | DREAM BIG ABA LLC
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 18501 PINES BLVD # 347
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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 | 305-440-6419
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Fax |
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Provider Business Mailing Address
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Address Line | 18501 PINES BLVD # 347
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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 | 305-440-6419
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JESUS ARTURO RODRIGUEZ OJEA
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Credential |
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Telephone | 305-440-6419
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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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