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General NPI Number Information
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NPI Number | 1114785227
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Entity Type | Organization
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Legal Business Name | MOTIVA LLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 4347 HUNTERS PARK LN
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City | ORLANDO
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State | FL
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Zip | 32837-7614
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Country | US
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Telephone | 407-952-5594
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Fax |
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Provider Business Mailing Address
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Address Line | 4347 HUNTERS PARK LN
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City | ORLANDO
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State | FL
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Zip | 32837-7614
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Country | US
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Telephone | 407-952-5594
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. BETTY OSPINA
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Credential | MPA
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Telephone | 407-952-5594
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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 | 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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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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