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General NPI Number Information
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NPI Number | 1568236925
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Entity Type | Organization
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Legal Business Name | FUNCTION FIRST BEHAVIOR THERAPY LLC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 616 MIRABAY BLVD
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City | APOLLO BEACH
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State | FL
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Zip | 33572-3378
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Country | US
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Telephone | 813-421-1733
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Fax |
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Provider Business Mailing Address
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Address Line | 235 APOLLO BEACH BLVD
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City | APOLLO BEACH
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State | FL
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Zip | 33572-2251
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Country | US
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Telephone | 813-421-1733
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | APRIL HURLEY
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Credential |
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Telephone | 813-400-3644
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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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