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General NPI Number Information
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NPI Number | 1336058288
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Entity Type | Organization
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Legal Business Name | LITTLE LEARNERS ACADEMY LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 4526 SW SCOPE ST
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-8530
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Country | US
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Telephone | 561-385-8172
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Fax | 561-873-2234
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Provider Business Mailing Address
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Address Line | 4593 SW BRADBURY ST
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-6019
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Country | US
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Telephone | 561-660-2241
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Fax | 561-873-2234
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | FABIENNE FLEURANVIL MERISE
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Credential | ITDS
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Telephone | 561-660-2241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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