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General NPI Number Information
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NPI Number | 1063715506
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Entity Type | Organization
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Legal Business Name | ROE & ASSOCIATES INTEGRATED BEHAVIOR SUPPORTS, INC.
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 300 31ST ST N STE 230
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-7623
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Country | US
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Telephone | 727-327-2457
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Fax | 727-322-9839
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Provider Business Mailing Address
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Address Line | 300 31ST ST N STE 230
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-7623
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Country | US
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Telephone | 727-327-2457
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Fax | 727-322-9839
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SELENA ANN ROE
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Credential | MS, BCBA
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Telephone | 727-327-2457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | FL
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