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General NPI Number Information
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NPI Number | 1780201269
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Entity Type | Organization
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Legal Business Name | POSITIVE STEPS ABA LLC
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 1912 DAIRY RD
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-4046
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Country | US
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Telephone | 321-413-3366
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Fax | 321-306-2880
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Provider Business Mailing Address
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Address Line | 200 ELDRON BLVD SE
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City | PALM BAY
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State | FL
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Zip | 32909-3629
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Country | US
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Telephone | 321-413-3366
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Fax | 321-306-2880
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Authorized Official
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Title or Position | OWNER
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Name | MISS YASAMIN IRENE SARPOOLAKI
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Credential | BCBA/ LBA
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Telephone | 321-413-3366
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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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