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General NPI Number Information
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NPI Number | 1952111742
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Entity Type | Organization
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Legal Business Name | SURF ABA
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 10800 BISCAYNE BLVD STE 750
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City | MIAMI
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State | FL
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Zip | 33161-7493
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Country | US
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Telephone | 848-210-0949
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Fax |
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Provider Business Mailing Address
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Address Line | 10800 BISCAYNE BLVD STE 750
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City | MIAMI
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State | FL
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Zip | 33161-7493
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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 | CEO
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Name | MENACHEM GOLDBERG
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Credential |
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Telephone | 845-825-0531
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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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