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General NPI Number Information
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NPI Number | 1104297209
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Entity Type | Individual
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Provider Name | YURACI G BERTA BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 12750 NW 17TH ST UNIT 216
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City | DORAL
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State | FL
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Zip | 33182-1422
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Country | US
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Telephone | 888-527-8037
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Fax |
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Provider Business Mailing Address
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Address Line | 12750 NW 17TH ST UNIT 216
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City | DORAL
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State | FL
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Zip | 33182-1422
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Country | US
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Telephone | 786-384-4456
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | FL
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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 | 0-19-9944
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-68064
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License Number State | FL
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