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General NPI Number Information
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NPI Number | 1154044170
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Entity Type | Organization
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Legal Business Name | HEALING HANDS BEHAVIOR INC
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 03/24/2024
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Provider Practice Location Address
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Address Line | 2151 45TH ST STE 202
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2009
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Country | US
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Telephone | 786-816-0506
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 45TH ST STE 202
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2009
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Country | US
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Telephone | 561-823-8250
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Fax | 561-617-8870
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADAISIS RODRIGUEZ
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Credential |
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Telephone | 786-816-0506
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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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