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General NPI Number Information
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NPI Number | 1831882182
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Entity Type | Organization
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Legal Business Name | BRIGHT MINDS ABA INC
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 1777 TAMIAMI TRL STE 101
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1078
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Country | US
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Telephone | 305-926-3395
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Fax |
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Provider Business Mailing Address
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Address Line | 9141 OVERSEAS HWY REAR BLDG UNIT 1
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City | MARATHON
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State | FL
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Zip | 33050-3247
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Country | US
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Telephone | 305-926-3395
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASUAR ALEPH
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Credential |
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Telephone | 305-926-3395
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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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