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General NPI Number Information
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NPI Number | 1073187357
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL PARTNERS LLC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 2620 PIERCE ST
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City | HOLLYWOOD
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State | FL
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Zip | 33020-3827
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Country | US
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Telephone | 786-803-9360
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Fax |
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Provider Business Mailing Address
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Address Line | 2213 NW 2ND AVE
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City | CAPE CORAL
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State | FL
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Zip | 33993-4139
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Country | US
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Telephone | 239-710-1815
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTONIO QUINTANA
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Credential |
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Telephone | 786-803-9360
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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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