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General NPI Number Information
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NPI Number | 1356059398
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Entity Type | Organization
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Legal Business Name | Y@LB MILL CHANGING BEHAVIOR LLC
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1900 SW 22ND ST STE 205
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City | MIAMI
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State | FL
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Zip | 33145-2661
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Country | US
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Telephone | 305-648-7212
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Fax | 786-655-4281
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Provider Business Mailing Address
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Address Line | 1900 SW 22ND ST STE 205
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City | MIAMI
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State | FL
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Zip | 33145-2661
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Country | US
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Telephone | 305-648-7212
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Fax | 786-655-4281
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Authorized Official
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Title or Position | PRESIDENT
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Name | YANET BONET MILL
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Credential | LEAD ANALYST
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Telephone | 305-648-7212
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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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