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General NPI Number Information
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NPI Number | 1154505501
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Entity Type | Organization
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Legal Business Name | ARC OF THE TREASURE COAST
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2001 S. KANNER HIGHWAY
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City | STUART
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State | FL
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Zip | 34994-4609
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Country | US
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Telephone | 772-283-2525
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Fax | 772-286-6808
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Provider Business Mailing Address
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Address Line | 2001 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34994-4609
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Country | US
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Telephone | 772-283-2525
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Fax | 772-286-6808
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. KEITH W. MUNIZ
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Credential |
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Telephone | 772-283-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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