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General NPI Number Information
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NPI Number | 1366816019
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Entity Type | Organization
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Legal Business Name | FOCUS BEHAVIORAL SUPPORTS, LLC
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 7418 10TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-5104
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Country | US
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Telephone | 727-526-3905
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Fax | 727-526-3905
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Provider Business Mailing Address
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Address Line | PO BOX 56011
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City | SAINT PETERSBURG
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State | FL
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Zip | 33732-6011
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Country | US
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Telephone | 727-526-3905
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Fax | 727-526-3905
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Authorized Official
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Title or Position | ADMINISTRATIVE COORDINATOR
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Name | CHRISTA SCULL
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Credential |
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Telephone | 727-526-3905
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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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