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General NPI Number Information
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NPI Number | 1568737336
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE BEHAVIOR CONSULTANTS INC.
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 672 BELLHURST CT
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City | ORLANDO
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State | FL
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Zip | 32835-5760
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Country | US
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Telephone | 407-808-0187
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Fax |
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Provider Business Mailing Address
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Address Line | 672 BELLHURST CT
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City | ORLANDO
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State | FL
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Zip | 32835-5760
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Country | US
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Telephone | 407-808-0187
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | SHAWANDA WRIGHT
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Credential |
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Telephone | 407-808-0187
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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 | 1-04-2029
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License Number State | FL
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