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General NPI Number Information
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NPI Number | 1447835509
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL SERVICES OF COLLIER INC
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 5051 CASTELLO DR STE 35
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City | NAPLES
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State | FL
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Zip | 34103-8984
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Country | US
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Telephone | 786-916-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 5051 CASTELLO DR STE 35
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City | NAPLES
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State | FL
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Zip | 34103-8984
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Country | US
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Telephone | 786-916-7078
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Fax |
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | VERONICA MARINA LEDO
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Credential |
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Telephone | 786-916-7078
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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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