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General NPI Number Information
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NPI Number | 1023697794
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Entity Type | Organization
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Legal Business Name | UNITED FAMILY BEHAVIORAL THERAPY LLC
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 2240 PALM BEACH LAKES BLVD # 304 E
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3410
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Country | US
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Telephone | 856-345-4017
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Fax |
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Provider Business Mailing Address
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Address Line | 2240 PALM BEACH LAKES BLVD # 304E
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3410
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Country | US
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Telephone | 561-557-5162
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEJANDRO VEGA SOTO
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Credential |
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Telephone | 786-230-7529
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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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