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General NPI Number Information
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NPI Number | 1124499546
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Entity Type | Organization
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Legal Business Name | APPLIED BEHAVIORSOLUTIONS, LLC
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 909 N MIAMI BEACH BLVD SUITE #301
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3712
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Country | US
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Telephone | 305-822-7202
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Fax | 305-822-7203
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Provider Business Mailing Address
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Address Line | 909 N MIAMI BEACH BLVD SUITE #301
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3712
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Country | US
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Telephone | 305-822-7202
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Fax | 305-822-7203
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. JOSEPH LEON BERG
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Credential | PSYD, BCBA
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Telephone | 305-822-7202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | SW6104
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | SW6104
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License Number State | FL
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