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General NPI Number Information
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NPI Number | 1144649781
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Entity Type | Organization
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Legal Business Name | L & L BEHAVIOR CONSULTING, LLC
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 981 NW 132ND AVE W
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City | MIAMI
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State | FL
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Zip | 33182-2313
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Country | US
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Telephone | 305-227-7082
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Fax |
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Provider Business Mailing Address
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Address Line | 981 NW 132ND AVE W
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City | MIAMI
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State | FL
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Zip | 33182-2313
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Country | US
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Telephone | 305-227-7082
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Fax |
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Authorized Official
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Title or Position | BCABA
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Name | MR. LEONARDO ALBERTO INCLAN
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Credential | PRESIDENT
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Telephone | 305-227-7082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0041424
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License Number State | FL
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