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General NPI Number Information
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NPI Number | 1598957219
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL APPROACHES
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 5929 TOPHER TRL
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City | MULBERRY
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State | FL
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Zip | 33860-7511
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Country | US
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Telephone | 863-529-9934
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Fax | 863-816-3134
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Provider Business Mailing Address
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Address Line | 5929 TOPHER TRL
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City | MULBERRY
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State | FL
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Zip | 33860-7511
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Country | US
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Telephone | 863-529-9934
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Fax | 863-816-3134
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Authorized Official
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Title or Position | PRESIDENT, BEHAVIOR ANALYST
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Name | MR. PATRICK D. WILLS
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Credential | MS, BCBA
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Telephone | 863-529-9934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1-02-0876
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License Number State |
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