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General NPI Number Information
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NPI Number | 1245082650
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Entity Type | Organization
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Legal Business Name | EARLY WINGS LLC
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 408 STEWART PARK LN
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City | DELAND
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State | FL
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Zip | 32724-7729
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Country | US
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Telephone | 786-620-7367
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Fax |
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Provider Business Mailing Address
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Address Line | 408 STEWART PARK LN
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City | DELAND
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State | FL
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Zip | 32724-7729
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BCBA / OWNER
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Name | ARIEL TAPANES DOMINGUEZ
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Credential | BCBA
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Telephone | 786-620-7367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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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