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General NPI Number Information
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NPI Number | 1356684054
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Entity Type | Organization
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Legal Business Name | PUTTING THE PIECES TOGETHER BEHAVIORAL THERAPY
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 1355 MARIPOSA CIR APT 102
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City | NAPLES
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State | FL
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Zip | 34105-7259
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Country | US
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Telephone | 603-738-9369
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 MARIPOSA CIR APT 102
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City | NAPLES
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State | FL
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Zip | 34105-7259
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Country | US
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Telephone | 603-738-9369
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Fax |
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Authorized Official
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Title or Position | OWNER/BEHAVIOR ANALYST
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Name | SARAH BETH BERTRAND-ZELAYA
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Credential | BCBA
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Telephone | 603-738-9369
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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 | 1-12-10161
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License Number State | FL
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