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General NPI Number Information
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NPI Number | 1588168777
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Entity Type | Organization
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Legal Business Name | BEHAVIOR 101, LLC
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 7100 W COMMERCIAL BLVD #106
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City | LAUDERHILL
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State | FL
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Zip | 33319
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Country | US
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Telephone | 754-232-2026
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Fax | 786-221-4188
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Provider Business Mailing Address
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Address Line | 7100 W COMMERCIAL BLVD #106
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City | LAUDERHILL
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State | FL
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Zip | 33319
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Country | US
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Telephone | 754-232-2026
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Fax | 786-221-4188
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Authorized Official
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Title or Position | OWNER
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Name | YENEIRIR MIRO
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Credential | BCBA
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Telephone | 786-280-1893
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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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