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General NPI Number Information
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NPI Number | 1235820465
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Entity Type | Organization
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Legal Business Name | BRIGHTLINE BEHAVIOR ANALYSIS SERVICES LLC
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 8400 NW 33RD ST STE 310-115
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City | DORAL
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State | FL
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Zip | 33122-2008
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Country | US
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Telephone | 786-342-4367
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Fax | 786-610-1179
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Provider Business Mailing Address
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Address Line | 8400 NW 33RD ST STE 310-115
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City | DORAL
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State | FL
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Zip | 33122-2008
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Country | US
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Telephone | 786-342-4367
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Fax | 786-610-1179
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIRIAM A DIAZ
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Credential | BCBA
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Telephone | 786-342-4367
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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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