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General NPI Number Information
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NPI Number | 1376906909
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Entity Type | Organization
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Legal Business Name | PRESTON BEHAVIORAL SERVICES LLC
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 8123 WHISTLEWING CT
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City | ORLANDO
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State | FL
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Zip | 32817-1559
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Country | US
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Telephone | 407-624-4002
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5348
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City | WINTER PARK
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State | FL
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Zip | 32793-5348
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Country | US
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Telephone | 407-624-4002
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | APRIL S PRESTON
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Credential | M.S., BCBA
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Telephone | 407-624-4002
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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 | 1-14-16099
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License Number State | FL
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