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General NPI Number Information
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NPI Number | 1447121579
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Entity Type | Organization
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Legal Business Name | SAFE SPACE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 2824 WATERS EDGE CIR
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City | GREENACRES
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State | FL
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Zip | 33413-2157
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Country | US
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Telephone | 561-267-5114
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Fax |
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Provider Business Mailing Address
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Address Line | 9314 FOREST HILL BLVD STE 734
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City | WELLINGTON
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State | FL
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Zip | 33411-6577
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Country | US
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Telephone | 561-267-5114
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Fax | 561-831-4545
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Authorized Official
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Title or Position | OWNER
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Name | CLAIRE NADER
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Credential |
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Telephone | 561-267-5114
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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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