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General NPI Number Information
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NPI Number | 1386557536
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Entity Type | Organization
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Legal Business Name | OUT OF THE BOX BEHAVIORAL LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 604 N SINCLAIR AVE STE 4
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City | TAVARES
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State | FL
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Zip | 32778-2621
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Country | US
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Telephone | 352-217-8308
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Fax |
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Provider Business Mailing Address
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Address Line | 604 N SINCLAIR AVE STE 4
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City | TAVARES
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State | FL
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Zip | 32778-2621
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Country | US
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Telephone | 352-217-8308
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MALENA ABREU SINTES
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Credential | BCBA
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Telephone | 352-217-8303
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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 | NULL
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