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General NPI Number Information
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NPI Number | 1164886347
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Entity Type | Individual
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Provider Name | BERNAT ALTIMIRAS RIERA BCBA, LMHC, M.S.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 4236 W LINEBAUGH AVE
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City | TAMPA
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State | FL
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Zip | 33624-5241
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Country | US
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Telephone | 813-557-1525
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Fax |
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Provider Business Mailing Address
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Address Line | 9521 DELANEY CREEK BLVD APT 221
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City | TAMPA
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State | FL
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Zip | 33619-5186
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Country | US
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Telephone | 786-436-4244
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-18-33741
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License Number State | FL
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