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General NPI Number Information
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NPI Number | 1457288383
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Entity Type | Organization
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Legal Business Name | THRIVE BEHAVIOR L.L.C
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 6921 NW 4TH CT
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City | PLANTATION
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State | FL
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Zip | 33317-7571
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Country | US
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Telephone | 978-828-7783
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Fax |
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Provider Business Mailing Address
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Address Line | 6921 NW 4TH CT
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City | PLANTATION
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State | FL
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Zip | 33317-7571
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Country | US
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Telephone | 978-828-7783
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. ALLIE MARYJANE PANDISCIO
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Credential | BCBA
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Telephone | 978-828-7783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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