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NPI 1598600678

NPI 1598600678 : JENNIFER RITA GATES RBT : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1598600678
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER RITA GATES RBT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/23/2026
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    Last Update Date     |    04/23/2026
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Provider Practice Location Address
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    Address Line         |    6881 KINGSPOINTE PKWY STE 18 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32819-6535
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    Country              |    US
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    Telephone            |    888-900-7779
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1136 CAVENDER CREEK RD 
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    City                 |    MINNEOLA
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    State                |    FL
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    Zip                  |    34715-7674
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    Country              |    US
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    Telephone            |    609-339-0509
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    BACB1144168
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    License Number State |    FL
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