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General NPI Number Information
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NPI Number | 1104524982
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Entity Type | Individual
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Provider Name | BETHSY ANN BERBERENA
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Gender | Female
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 450 N PARK RD STE 400
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6918
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Country | US
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Telephone | 954-925-3191
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Fax |
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Provider Business Mailing Address
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Address Line | 7760 NW 7TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6869
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Country | US
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Telephone | 954-708-9727
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-24-15702
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-23-256247
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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