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General NPI Number Information
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NPI Number | 1366912693
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Entity Type | Individual
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Provider Name | YELAINE LAVIN
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Gender | Female
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 5180 W ATLANTIC AVE STE 112
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8103
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Country | US
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Telephone | 561-674-9996
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 MICHIGAN DR
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City | LAKE WORTH
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State | FL
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Zip | 33461-6053
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Country | US
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Telephone | 561-329-0941
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-19-10048
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 18-53292
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-22-59498
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License Number State | FL
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