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General NPI Number Information
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NPI Number | 1952018301
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Entity Type | Organization
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Legal Business Name | SUPERHERO ABA SERVICES INC
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 9001 SW 24 ST SUITE 6
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 59-008-3673
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Fax | 305-946-0168
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Provider Business Mailing Address
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Address Line | 9001 SW 24 ST
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 305-900-8367
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Fax | 305-946-0168
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Authorized Official
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Title or Position | PRESIDENT
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Name | ORLANDO RODRIGUEZ MENA
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Credential |
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Telephone | 305-926-5427
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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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