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General NPI Number Information
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NPI Number | 1063863231
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Entity Type | Organization
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Legal Business Name | FOCUS ON BEHAVIOR
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 445 GRACE AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-2721
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Country | US
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Telephone | 850-818-0095
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Fax |
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Provider Business Mailing Address
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Address Line | 445 GRACE AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-2721
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Country | US
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Telephone | 850-818-0095
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | KARI WOZNICK
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Credential | M.S., BCBA
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Telephone | 850-818-0095
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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 | 1-16-22754
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License Number State | FL
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