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General NPI Number Information
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NPI Number | 1114650173
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Entity Type | Organization
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Legal Business Name | LETS FLOURISH PSYCHOLOGY LLC
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 7726 WINEGARD RD STE 39
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City | ORLANDO
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State | FL
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Zip | 32809-7147
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Country | US
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Telephone | 407-604-1194
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Fax |
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Provider Business Mailing Address
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Address Line | 9201 KENSINGTON ROW CT
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City | ORLANDO
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State | FL
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Zip | 32827-5757
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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 | SCHOOL PSYCHOLOGIST/PARTNER
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Name | NAOMI HICKS HOLBROOK
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Credential | M.S., PSY.S.
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Telephone | 561-329-6909
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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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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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