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General NPI Number Information
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NPI Number | 1467161612
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Entity Type | Organization
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Legal Business Name | IMPROVED BEHAVIOR THERAPY LLC
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 10651 N KENDALL DR STE 218B
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City | MIAMI
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State | FL
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Zip | 33176-1545
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Country | US
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Telephone | 813-841-0294
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Fax | 786-899-0454
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Provider Business Mailing Address
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Address Line | 10631 N KENDALL DR STE 150
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City | MIAMI
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State | FL
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Zip | 33176-1559
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Country | US
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Telephone | 786-899-0429
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Fax | 786-899-0454
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Authorized Official
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Title or Position | OWNER
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Name | MS. LOIPA FERNANDEZ
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Credential |
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Telephone | 813-841-0294
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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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