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General NPI Number Information
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NPI Number | 1467351742
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Entity Type | Organization
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Legal Business Name | EUREKA CHILD BEHAVIOR SERVICES CORP
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 620 CAPTIVA CIR
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City | KISSIMMEE
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State | FL
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Zip | 34741-4115
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Country | US
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Telephone | 407-409-6968
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Fax |
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Provider Business Mailing Address
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Address Line | 620 CAPTIVA CIR
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City | KISSIMMEE
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State | FL
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Zip | 34741-4115
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Country | US
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Telephone | 407-409-6968
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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. RAMON MARCEL ARELLANO
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Credential | MD, BCABA
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Telephone | 407-409-6968
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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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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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