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General NPI Number Information
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NPI Number | 1396366217
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Entity Type | Organization
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Legal Business Name | GIFTED KIDS THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 05/01/2020
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 409 S DIXIE HWY STE 4
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-4405
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Country | US
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Telephone | 561-409-3418
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Fax | 786-544-3309
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Provider Business Mailing Address
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Address Line | 409 S DIXIE HWY STE 4
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-4405
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Country | US
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Telephone | 561-409-3418
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Fax | 786-544-3309
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Authorized Official
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Title or Position | APPLIED BEHAVIOR ANALYST
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Name | MRS. YIGSY MARIA LEMOS
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Credential | MS
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Telephone | 786-281-2421
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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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