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General NPI Number Information
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NPI Number | 1124938303
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Entity Type | Organization
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Legal Business Name | LITTLE SHELLS THERAPY GROUP CORP
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 7100 W 20TH AVE STE 301
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City | HIALEAH
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State | FL
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Zip | 33016-1812
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Country | US
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Telephone | 786-599-4352
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Fax | 833-206-0975
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Provider Business Mailing Address
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Address Line | 7100 W 20TH AVE STE 301
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City | HIALEAH
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State | FL
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Zip | 33016-1812
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Country | US
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Telephone | 786-599-4352
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Fax | 833-206-0975
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIAN MARTINEZ BARRIOS
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Credential |
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Telephone | 786-714-9637
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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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