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General NPI Number Information
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NPI Number | 1578478186
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Entity Type | Organization
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Legal Business Name | STONEWAY BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 787 SWISS OAKS CT
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City | ST JOHNS
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State | FL
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Zip | 32259-9095
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Country | US
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Telephone | 904-588-2540
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Fax |
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Provider Business Mailing Address
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Address Line | 787 SWISS OAKS CT
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City | ST JOHNS
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State | FL
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Zip | 32259-9095
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Country | US
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Telephone | 904-588-2540
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | MR. NICHOLAS JOSEPH DEAN-ANDREWS
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Credential |
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Telephone | 904-588-2540
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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