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General NPI Number Information
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NPI Number | 1801394127
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Entity Type | Organization
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Legal Business Name | ABA PROFESSIONAL CARE, INC
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 13370 SW 131ST ST STE 110
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City | MIAMI
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State | FL
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Zip | 33186-5856
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Country | US
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Telephone | 305-763-0830
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Fax | 305-969-8273
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Provider Business Mailing Address
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Address Line | 13370 SW 131ST ST STE 110
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City | MIAMI
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State | FL
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Zip | 33186-5856
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Country | US
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Telephone | 305-763-0830
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Fax | 305-969-8273
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNABEL RODRIGUEZ
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Credential |
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Telephone | 786-970-0692
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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 | MH14366
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License Number State | FL
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