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General NPI Number Information
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NPI Number | 1245197565
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Entity Type | Organization
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Legal Business Name | NOVA LEARNING AND DEVELOPMENT GROUP LLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1501 ROBERT J CONLAN BLVD NE STE 120-6
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City | PALM BAY
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State | FL
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Zip | 32905-3502
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Country | US
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Telephone | 786-378-2053
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 ROBERT J CONLAN BLVD NE STE 120-6
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City | PALM BAY
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State | FL
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Zip | 32905-3502
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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 | OWNER
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Name | JOSE LADRON DE GUEVARA
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Credential |
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Telephone | 786-378-2053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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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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