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NPI 1851114649

NPI 1851114649 : S&V ABA, LLC : SEBRING, FL

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General NPI Number Information
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    NPI Number           |    1851114649
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    Entity Type          |    Organization 
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    Legal Business Name  |    S&V ABA, LLC 
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Dates
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    Enumeration Date     |    11/01/2024
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    Last Update Date     |    11/01/2024
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Provider Practice Location Address
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    Address Line         |    3731 OAKVIEW DR 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33876-9554
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    Country              |    US
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    Telephone            |    305-355-9893
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3731 OAKVIEW DR 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33876-9554
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DELMIS I VALE 
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    Credential           |    
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    Telephone            |    305-335-9893
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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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