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General NPI Number Information
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NPI Number | 1992542963
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Entity Type | Organization
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Legal Business Name | INFINITE GROWN ABA LLC
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Dates
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Enumeration Date | 07/09/2024
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 2500 NW 79TH AVE STE 202
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City | DORAL
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State | FL
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Zip | 33122-1084
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Country | US
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Telephone | 561-643-7643
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 NW 79TH AVE STE 202
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City | DORAL
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State | FL
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Zip | 33122-1084
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Country | US
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Telephone | 305-924-8993
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARYABEL E MORALES
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Credential | BCBA
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Telephone | 561-643-7643
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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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