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NPI 1598637415

NPI 1598637415 : ALEXANDER RUIZ BELTRAN RBT : PEMBROKE PINES, FL

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General NPI Number Information
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    NPI Number           |    1598637415
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDER RUIZ BELTRAN RBT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/19/2025
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    2010 NW 150TH AVE STE 201 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33028-2888
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    Country              |    US
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    Telephone            |    786-261-2139
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14138 SW 260TH ST APT 106 
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    City                 |    HOMESTEAD
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    State                |    FL
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    Zip                  |    33032-6682
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    Country              |    US
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    Telephone            |    786-780-4960
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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       |    RBT-25-458637
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    License Number State |    FL
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