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General NPI Number Information
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NPI Number | 1154163723
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Entity Type | Organization
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Legal Business Name | NEW PROGRESS BEHAVIORAL SERVICES CORP
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Dates
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Enumeration Date | 06/12/2024
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 6303 BLUE LAGOON DR STE 400
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City | MIAMI
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State | FL
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Zip | 33126-6040
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Country | US
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Telephone | 786-916-1795
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Fax |
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Provider Business Mailing Address
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Address Line | 2370 NW 17TH AVE APT 607
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City | MIAMI
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State | FL
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Zip | 33142-7672
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Country | US
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Telephone | 786-916-1795
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MANUEL BEYRA GARCIA
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Credential |
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Telephone | 786-916-1795
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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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