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General NPI Number Information
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NPI Number | 1598613598
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Entity Type | Organization
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Legal Business Name | ADAPTIVE MINDS BEHAVIORAL THERAPY LLC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 15600 SW 288TH ST STE 307
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City | HOMESTEAD
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State | FL
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Zip | 33033-1223
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Country | US
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Telephone | 786-601-7568
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Fax |
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Provider Business Mailing Address
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Address Line | 13238 SW 285TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-7545
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Country | US
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Telephone | 305-335-8303
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Fax |
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Authorized Official
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Title or Position | MA IN APPLIED BEHAVIOR ANALYSIS
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Name | JONATHAN FRIAS
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Credential | BCBA
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Telephone | 305-335-8303
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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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