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General NPI Number Information
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NPI Number | 1386897551
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Entity Type | Organization
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Legal Business Name | ANITA K REBHAN, BCBA, INC.
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Dates
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Enumeration Date | 10/31/2008
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Last Update Date | 10/31/2008
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Provider Practice Location Address
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Address Line | 2715 SW 8TH ST
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7519
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Country | US
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Telephone | 561-733-9746
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Fax | 561-736-1581
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Provider Business Mailing Address
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Address Line | 2715 SW 8TH ST
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7519
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Country | US
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Telephone | 561-733-9746
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Fax | 561-736-1581
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANITA K REBAHN
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Credential | BCBA
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Telephone | 561-733-9746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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