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General NPI Number Information
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NPI Number | 1912411422
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Entity Type | Organization
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Legal Business Name | ABA ALLIANCE CARE SERVICES LLC
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 9560 SW 107TH AVE STE 106A
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City | MIAMI
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State | FL
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Zip | 33176-2790
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Country | US
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Telephone | 786-899-0308
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Fax | 786-899-0598
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Provider Business Mailing Address
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Address Line | 9560 SW 107TH AVE STE 106A
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City | MIAMI
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State | FL
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Zip | 33176-2790
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Country | US
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Telephone | 786-899-0308
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Fax | 786-899-0598
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Authorized Official
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Title or Position | CEO
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Name | YANELKYS MARTINEZ
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Credential | OWNER
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Telephone | 786-899-0308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 State |
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