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General NPI Number Information
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NPI Number | 1508448804
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Entity Type | Organization
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Legal Business Name | UP BEHAVIOR LLC
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 4417 SE 16TH PL STE 14
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City | CAPE CORAL
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State | FL
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Zip | 33904-7471
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Country | US
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Telephone | 239-306-4537
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Fax | 239-799-7676
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Provider Business Mailing Address
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Address Line | 4417 SE 16TH PL STE 14
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City | CAPE CORAL
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State | FL
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Zip | 33904-7471
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Country | US
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Telephone | 239-306-4537
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNDIA ALFONSO
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Credential |
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Telephone | 786-678-5051
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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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