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General NPI Number Information
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NPI Number | 1265231146
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Entity Type | Organization
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Legal Business Name | BEHAVIOR ANALYSIS SUPPORT SERVICES, INC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 233 DELLA CT
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City | SPRING HILL
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State | FL
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Zip | 34606-5358
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Country | US
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Telephone | 877-823-4283
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Fax |
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Provider Business Mailing Address
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Address Line | 745 ORIENTA AVE STE 1011
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5675
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Country | US
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Telephone | 877-823-4283
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOHN DENNIS ADELINIS
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Credential |
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Telephone | 352-332-8588
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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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