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NPI 1962928176

NPI 1962928176 : ABA INSTITUTE FOR HIGHER LEARNING : DORAL, FL

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General NPI Number Information
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    NPI Number           |    1962928176
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABA INSTITUTE FOR HIGHER LEARNING 
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Dates
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    Enumeration Date     |    08/18/2017
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    Last Update Date     |    12/30/2021
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Provider Practice Location Address
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    Address Line         |    1916 NW 84 AVE 
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    City                 |    DORAL
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    State                |    FL
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    Zip                  |    33126
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    Country              |    US
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    Telephone            |    305-224-1929
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    Fax                  |    786-441-2169
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Provider Business Mailing Address
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    Address Line         |    1916 NW 84 AVE 
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    City                 |    DORAL
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    State                |    FL
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    Zip                  |    33126
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    Country              |    US
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    Telephone            |    305-224-1929
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    Fax                  |    786-441-2169
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Authorized Official
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    Title or Position    |    CHAIRMAN/CEO
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    Name                 |    MR. ROLANDO L. MEDINA 
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    Credential           |    
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    Telephone            |    305-224-1929
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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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