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General NPI Number Information
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NPI Number | 1144995861
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Entity Type | Organization
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Legal Business Name | LI & R BEHAVIORAL, LLC
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 03/30/2025
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Provider Practice Location Address
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Address Line | 111 E LAKE MARY BLVD STE 113
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City | SANFORD
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State | FL
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Zip | 32773-7111
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Country | US
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Telephone | 689-290-2872
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Fax |
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Provider Business Mailing Address
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Address Line | 1551 SUGARWOOD CIR
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City | WINTER PARK
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State | FL
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Zip | 32792-6301
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Country | US
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Telephone | 786-234-7210
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ILEANA FELIPE SANTOS
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Credential | M. ED., MBA, MS ABA
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Telephone | 407-906-6558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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