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General NPI Number Information
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NPI Number | 1568853323
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Entity Type | Organization
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Legal Business Name | INSIGHT BEHAVIORAL HEALTH SPECIALISTS, LLC
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 618 N MAIN ST 1320 N MAIN ST
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City | KISSIMMEE
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State | FL
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Zip | 34744-5262
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Country | US
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Telephone | 407-343-6006
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Fax | 407-343-8289
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Provider Business Mailing Address
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Address Line | 618 N MAIN ST SUITE B
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City | KISSIMMEE
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State | FL
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Zip | 34744-5262
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Country | US
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Telephone | 407-343-6006
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Fax | 407-343-8289
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Authorized Official
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Title or Position | C.E.O
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Name | MRS. OLGA A BARRETO
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Credential | M.ED.
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Telephone | 407-922-9241
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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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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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