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General NPI Number Information
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NPI Number | 1508316233
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Entity Type | Individual
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Provider Name | MONICA MORGADO GANDIA
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Gender | Female
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 7950 W FLAGLER ST STE 105
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City | MIAMI
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State | FL
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Zip | 33144
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Country | US
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Telephone | 305-263-9066
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Fax |
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Provider Business Mailing Address
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Address Line | 14067 SW 66TH TER
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City | MIAMI
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State | FL
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Zip | 33183-2223
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Country | US
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Telephone | 424-535-7998
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-18-9218
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-43123
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License Number State | FL
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