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General NPI Number Information
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NPI Number | 1093241572
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Entity Type | Individual
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Provider Name | KRYSTAL BURNSTEIN
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Gender | Female
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1107 NW 130TH AVE
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City | MIAMI
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State | FL
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Zip | 33182-2344
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Country | US
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Telephone | 305-761-3542
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Fax |
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Provider Business Mailing Address
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Address Line | 8433 SW 144TH CT
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City | MIAMI
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State | FL
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Zip | 33183-3917
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 15640
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License Number State | FL
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