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General NPI Number Information
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NPI Number | 1548996630
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Entity Type | Organization
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Legal Business Name | ROAR COUNSELOR & BEHAVIOR THERAPY LLC
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 3157 N UNIVERSITY DR STE 108
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2258
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Country | US
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Telephone | 561-764-7093
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Fax | 561-972-5845
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Provider Business Mailing Address
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Address Line | 3157 N UNIVERSITY DR STE 108
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2258
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Country | US
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Telephone | 786-715-7622
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Fax | 561-972-5845
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBEL CORREA
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Credential |
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Telephone | 561-764-7093
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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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