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General NPI Number Information
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NPI Number | 1588355895
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Entity Type | Organization
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Legal Business Name | SHORELINE BEHAVIORAL, LLC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 11330 SW ASPEN LN
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City | PORT ST LUCIE
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State | FL
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Zip | 34987-2459
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Country | US
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Telephone | 561-537-6153
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Fax | 772-264-8329
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Provider Business Mailing Address
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Address Line | 382 NE 191ST ST STE 481436
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone | 561-537-6153
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR ANALYST, OWNER
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Name | NADINE DABBS
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Credential | MS, BCBA
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Telephone | 561-537-6153
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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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