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General NPI Number Information
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NPI Number | 1275242992
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Entity Type | Organization
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Legal Business Name | MOGAL KIDS THERAPY CENTER INC
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 3920 BEE RIDGE RD UNIT B
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City | SARASOTA
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State | FL
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Zip | 34233-1207
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Country | US
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Telephone | 941-914-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 3920 BEE RIDGE RD UNIT B
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City | SARASOTA
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State | FL
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Zip | 34233-1207
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Country | US
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Telephone | 941-914-5272
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | MRS. YUSSET GALVEZ
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Credential | BCBA-1-20-44158
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Telephone | 941-914-5272
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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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