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General NPI Number Information
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NPI Number | 1497117352
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Entity Type | Organization
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Legal Business Name | STELLAR STEPS BEHAVIORAL SOLUTIONS
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 1365 NE 139TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-3430
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Country | US
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Telephone | 305-297-4277
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 NE 139TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-3430
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/BEHAVIOR ANALYST
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Name | MS. MARIE CARMAUDELY LOURDIMIE GALLIOTTE
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Credential | M.S., BCBA
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Telephone | 305-297-4277
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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 | FL
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