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NPI 1215805239

NPI 1215805239 : YEHOSHUA AZARI : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1215805239
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    Entity Type          |    Individual 
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    Provider Name        |    YEHOSHUA AZARI
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/29/2025
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    7284 W PALMETTO PARK RD STE 105S 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33433-3406
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    Country              |    US
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    Telephone            |    305-336-5381
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    Fax                  |    305-489-0905
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Provider Business Mailing Address
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    Address Line         |    9499 COLLINS AVE APT 203 
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    City                 |    SURFSIDE
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    State                |    FL
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    Zip                  |    33154-2679
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    Country              |    US
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    Telephone            |    305-897-7778
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    BACB1385512
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    License Number State |    FL
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