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General NPI Number Information
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NPI Number | 1013870831
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Entity Type | Individual
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Provider Name | JOSHUA RAPHAEL LEYVA
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 8900 SW 117TH AVE STE C206
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City | MIAMI
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State | FL
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Zip | 33186-2185
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Country | US
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Telephone | 305-224-0014
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Fax | 305-224-0014
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Provider Business Mailing Address
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Address Line | 28128 SW 173RD PL
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City | HOMESTEAD
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State | FL
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Zip | 33030-2031
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-479762
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License Number State | FL
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