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General NPI Number Information
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NPI Number | 1093569279
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Entity Type | Organization
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Legal Business Name | FLORIDA CARES ABOUT AUTISM
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 8886 WHITE IBIS WAY
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City | NAVARRE
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State | FL
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Zip | 32566-3623
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Country | US
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Telephone | 501-231-7012
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Fax |
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Provider Business Mailing Address
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Address Line | 218 N MCKINLEY ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3120
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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 | MANAGING MEMBER
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Name | JENNIFER ANDERSON
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Credential |
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Telephone | 501-231-7012
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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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