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General NPI Number Information
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NPI Number | 1356839526
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL EDUCATIONAL SERVICES, INC.
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 1975 PALM BAY RD NE STE 104
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City | PALM BAY
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State | FL
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Zip | 32905-2972
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Country | US
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Telephone | 321-768-8586
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Fax | 321-768-8589
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Provider Business Mailing Address
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Address Line | 1975 PALM BAY RD NE STE 104
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City | PALM BAY
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State | FL
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Zip | 32905-2972
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Country | US
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Telephone | 321-768-8586
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Fax | 321-768-8589
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Authorized Official
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Title or Position | SR VP CFO
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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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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