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General NPI Number Information
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NPI Number | 1457029225
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Entity Type | Organization
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Legal Business Name | CHILDRENS BEHAVIORAL INTERVENTION CORP
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Dates
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Enumeration Date | 09/05/2021
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1601 BELVEDERE RD STE 300E
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-1554
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Country | US
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Telephone | 305-519-2546
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Fax |
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Provider Business Mailing Address
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Address Line | 1665 W 68TH ST STE 208
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City | HIALEAH
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State | FL
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Zip | 33014-4400
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Country | US
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Telephone | 305-519-2546
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JONATHAN DELVALLE
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Credential | PA
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Telephone | 305-519-2546
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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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