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NPI 1417713835

NPI 1417713835 : BEATON CARE SERVICE INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1417713835
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEATON CARE SERVICE INC 
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Dates
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    Enumeration Date     |    02/23/2024
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    Last Update Date     |    08/12/2025
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Provider Practice Location Address
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    Address Line         |    14335 SW 120TH ST STE 110 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33186-7295
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    Country              |    US
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    Telephone            |    786-612-9113
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    Fax                  |    786-661-4829
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Provider Business Mailing Address
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    Address Line         |    14335 SW 120TH ST STE 110 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33186-7295
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    Country              |    US
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    Telephone            |    786-612-9113
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    Fax                  |    786-661-4829
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     SHEILA  BEATON FERNANDEZ 
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    Credential           |    
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    Telephone            |    786-612-9113
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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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