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General NPI Number Information
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NPI Number | 1225724735
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL & WELLNESS SOLUTION LLC
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Dates
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Enumeration Date | 04/17/2023
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 1225 US HIGHWAY 27 S STE 202
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City | SEBRING
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State | FL
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Zip | 33870-2145
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Country | US
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Telephone | 863-451-5316
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Fax | 239-310-5550
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Provider Business Mailing Address
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Address Line | 1225 US HIGHWAY 27 S STE 202
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City | SEBRING
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State | FL
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Zip | 33870-2145
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Country | US
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Telephone | 863-451-5316
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Fax | 239-310-5550
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DAMARY LEON
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Credential | BCBA
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Telephone | 863-451-5316
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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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