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General NPI Number Information
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NPI Number | 1477465730
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Entity Type | Organization
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Legal Business Name | JUPITER THERAPY LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 5550 N OCEAN DR APT 4A
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-2513
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Country | US
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Telephone | 561-202-7380
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Fax |
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Provider Business Mailing Address
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Address Line | 19805 CASTLEWOOD DR
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City | JUPITER
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State | FL
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Zip | 33458-1851
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Country | US
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Telephone | 561-202-7380
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | RILEY BENEDETTO
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Credential | BCBA
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Telephone | 561-202-7380
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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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