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General NPI Number Information
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NPI Number | 1144919408
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Entity Type | Organization
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Legal Business Name | PALM BEACH BEHAVIORAL CENTER
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Dates
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Enumeration Date | 05/03/2023
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 6295 LAKE WORTH RD STE 40
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City | GREENACRES
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State | FL
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Zip | 33463-3034
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Country | US
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Telephone | 561-508-6150
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Fax | 561-431-2208
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Provider Business Mailing Address
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Address Line | 6295 LAKE WORTH RD STE 40
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City | GREENACRES
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State | FL
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Zip | 33463-3034
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Country | US
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Telephone | 561-508-6150
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARLENYS PEREZ CAMARGO
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Credential |
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Telephone | 561-508-6150
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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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