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General NPI Number Information
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NPI Number | 1457067902
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Entity Type | Organization
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Legal Business Name | SMART BEHAVIOR THERAPY LLC
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 306 WESTWARD DR
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5262
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Country | US
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Telephone | 786-558-7894
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 NW 77TH AVE STE 202
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City | MIAMI
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State | FL
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Zip | 33166-2842
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Country | US
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Telephone | 786-641-9229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YELENA PENDAS SALGADO
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Credential | BCBA
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Telephone | 786-641-9229
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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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