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General NPI Number Information
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NPI Number | 1285413690
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Entity Type | Organization
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Legal Business Name | LOVE & BEHAVIOR SUPPORT.INC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 2791 S FLORIDA MANGO RD APT 114
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City | LAKE WORTH
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State | FL
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Zip | 33461-2213
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Country | US
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Telephone | 832-567-7184
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Fax |
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Provider Business Mailing Address
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Address Line | 2791 S FLORIDA MANGO RD APT 114
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City | LAKE WORTH
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State | FL
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Zip | 33461-2213
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Country | US
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Telephone | 832-567-7184
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIVALDO GUZMAN SEIJAS
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Credential |
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Telephone | 305-965-6207
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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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