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General NPI Number Information
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NPI Number | 1427947662
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Entity Type | Organization
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Legal Business Name | PRESTIGE BEHAVIORAL CENTER LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 4947 TAMIAMI TRL N STE 201
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City | NAPLES
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State | FL
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Zip | 34103-3014
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Country | US
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Telephone | 239-331-3783
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Fax | 321-413-3808
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Provider Business Mailing Address
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Address Line | 2105 SW 20TH AVE
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City | CAPE CORAL
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State | FL
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Zip | 33991-3514
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Country | US
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Telephone | 239-789-0041
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Fax | 321-413-3808
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Authorized Official
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Title or Position | CEO
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Name | MRS. ARIANNA DANTA
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Credential |
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Telephone | 239-789-0041
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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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