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General NPI Number Information
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NPI Number | 1215570486
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Entity Type | Organization
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Legal Business Name | BEHAVIOR ANALYTIC SERVICES FOR CHILDREN AND ADOLECENTS
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 1791 NE MIAMI GARDENS DR APT 604
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City | MIAMI
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State | FL
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Zip | 33179-5380
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Country | US
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Telephone | 626-673-9566
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Fax |
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Provider Business Mailing Address
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Address Line | 1791 NE MIAMI GARDENS DR APT 604
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City | MIAMI
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State | FL
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Zip | 33179-5380
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Country | US
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Telephone | 626-673-9566
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Fax |
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Authorized Official
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Title or Position | FOUNDER/ CEO
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Name | ELAINE MARGARITA GILMARTIN
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Credential | BCBA, MA
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Telephone | 626-673-9566
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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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