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General NPI Number Information
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NPI Number | 1083408710
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Entity Type | Organization
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Legal Business Name | REINFORCEMENT ZONE LLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 4900 EVERGREEN AVE
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City | FORT PIERCE
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State | FL
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Zip | 34947-1646
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Country | US
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Telephone | 772-538-2188
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Fax |
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Provider Business Mailing Address
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Address Line | 1729 NW SAINT LUCIE WEST BLVD # 1165
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-2501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BCBA-D
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Name | DR. CLARENCE COOPER
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Credential | ED.D
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Telephone | 772-538-2188
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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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