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General NPI Number Information
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NPI Number | 1336303049
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Entity Type | Organization
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Legal Business Name | BEHAVIOR ANALYSIS, INC
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 8001 SW 36TH ST SUITE #9
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City | DAVIE
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State | FL
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Zip | 33328-1915
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Country | US
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Telephone | 954-577-7790
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Fax | 954-577-7780
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Provider Business Mailing Address
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Address Line | 8001 SW 36TH ST SUITE #9
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City | DAVIE
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State | FL
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Zip | 33328-1915
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Country | US
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Telephone | 954-577-7790
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Fax | 954-577-7780
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. SILVIA MARUSSICH
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Credential | MSW
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Telephone | 954-577-7790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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