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General NPI Number Information
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NPI Number | 1982388385
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Entity Type | Organization
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Legal Business Name | ABA CENTERS OF TENNESSEE LLC
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 112 LONG HOLLOW PIKE UNIT A
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-1840
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Country | US
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Telephone | 561-323-6582
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Fax |
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Provider Business Mailing Address
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Address Line | 4620 N STATE ROAD 7 STE 300
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5867
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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 | VP OF OPERATIONS-CREDENTIALING
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Name | KIMBERLEY ESQUIVEL
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Credential |
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Telephone | 728-223-1535
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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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