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Organization
NEXTGEN ABA THERAPY
Active
Organization
NEXTGEN ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODIS FULMORE (OWNER)
(954) 825-3317
Entity
Organization
Contact information
Practice address
5100 W COPANS RD STE 300, MARGATE, FL 33063-7700
(954) 825-3317
Mailing address
5100 W COPANS RD STE 300, MARGATE, FL 33063-7700
(954) 825-3317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
07/02/2025
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