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General NPI Number Information
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NPI Number | 1114647872
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Entity Type | Organization
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Legal Business Name | BLUE SKY PROFESSIONAL SERVICES, INC
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 15715 S DIXIE HWY STE 219
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City | MIAMI
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State | FL
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Zip | 33157-1876
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Country | US
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Telephone | 178-654-3646
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Fax |
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Provider Business Mailing Address
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Address Line | 22731 SW 88TH PL UNIT 203
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City | CUTLER BAY
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State | FL
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Zip | 33190-2025
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Country | US
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Telephone | 786-543-6463
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALICIA PEREZ ABREU
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Credential |
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Telephone | 786-543-6463
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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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