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General NPI Number Information
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NPI Number | 1356895387
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Entity Type | Organization
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Legal Business Name | ACCESS ACADEMY, INC
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 9351 TALWAY CIR
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2713
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Country | US
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Telephone | 561-797-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 9351 TALWAY CIR
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2713
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Country | US
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Telephone | 561-797-8770
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. ROBIN JONES
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Credential | M.S, M.E.
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Telephone | 561-797-8770
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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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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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