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General NPI Number Information
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NPI Number | 1053968446
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Entity Type | Individual
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Provider Name | VENTURA DE JESUS GARCIA PRADO
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Gender | Male
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 5506 SW 134TH PL
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City | MIAMI
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State | FL
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Zip | 33175-6142
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Country | US
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Telephone | 786-828-2604
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Fax |
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Provider Business Mailing Address
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Address Line | 5506 SW 134TH PL
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City | MIAMI
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State | FL
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Zip | 33175-6142
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Country | US
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Telephone | 786-828-2604
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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-19-95076
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BCBA-1-24-76665
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License Number State | FL
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