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General NPI Number Information
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NPI Number | 1528465150
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Entity Type | Organization
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Legal Business Name | GREATER PENSACOLA BEHAVIOR SERVICES INC
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Dates
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Enumeration Date | 11/25/2014
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 6055 DOCTORS PARK
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City | MILTON
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State | FL
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Zip | 32570-5073
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Country | US
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Telephone | 850-723-6570
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Fax |
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Provider Business Mailing Address
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Address Line | 4122 WILLIAMSON LN
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City | MILTON
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State | FL
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Zip | 32571-2237
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Country | US
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Telephone | 786-525-6658
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMANTHA HALL
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Credential |
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Telephone | 786-525-6658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 |
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License Number State |
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