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General NPI Number Information
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NPI Number | 1295404788
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Entity Type | Organization
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Legal Business Name | TREEO AUTISM AND BEHAVIOR SERVICES
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 2145 US HIGHWAY 441
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City | LEESBURG
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State | FL
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Zip | 34748-2541
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Country | US
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Telephone | 352-234-3027
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Fax | 352-241-9576
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Provider Business Mailing Address
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Address Line | 2145 US HIGHWAY 441
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City | LEESBURG
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State | FL
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Zip | 34748-2541
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Country | US
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Telephone | 352-234-3027
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Fax | 352-241-9576
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Authorized Official
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Title or Position | OWNER
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Name | BRANDON DAVY DICKENS
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Credential | BCBA
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Telephone | 352-234-3027
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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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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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