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General NPI Number Information
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NPI Number | 1528764040
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Entity Type | Organization
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Legal Business Name | E.Y POSITIVE BEHAVIOR, INC
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 3275 41ST AVE NE
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City | NAPLES
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State | FL
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Zip | 34120-1502
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Country | US
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Telephone | 239-810-6458
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Fax |
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Provider Business Mailing Address
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Address Line | 3275 41ST AVE NE
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City | NAPLES
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State | FL
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Zip | 34120-1502
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Country | US
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Telephone | 239-810-6458
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ELISA TAYMI DIAZ DIAZ
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Credential |
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Telephone | 239-810-6458
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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 | 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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