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General NPI Number Information
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NPI Number | 1285313593
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Entity Type | Organization
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Legal Business Name | PEDIATRIC BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 9555 SW 175TH TER OFC 229
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5604
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Country | US
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Telephone | 786-286-1249
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Fax |
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Provider Business Mailing Address
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Address Line | 15988 SW 136TH WAY
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City | MIAMI
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State | FL
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Zip | 33196-1822
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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 | P
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Name | MICHELLE M CURRAS
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Credential |
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Telephone | 786-503-5853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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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