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General NPI Number Information
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NPI Number | 1609746882
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Entity Type | Organization
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Legal Business Name | INSPIRA BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 5621 W 104TH ST APT A2
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City | OAK LAWN
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State | IL
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Zip | 60453-4570
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Country | US
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Telephone | 773-983-0001
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Fax | 773-983-0001
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Provider Business Mailing Address
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Address Line | 5621 W 104TH ST APT A2
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City | OAK LAWN
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State | IL
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Zip | 60453-4570
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Country | US
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Telephone | 773-983-0001
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Fax | 773-983-0001
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Authorized Official
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Title or Position | OWNER/BCBA
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Name | CYNTHIA GONZALEZ
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Credential | BCBA
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Telephone | 773-983-0001
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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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