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General NPI Number Information
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NPI Number | 1619111630
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Entity Type | Organization
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Legal Business Name | COLLABORATIVE SOLUTIONS BY DR. NIKKI KEEFER & ASSOCIATES, INC
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 12/02/2013
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Provider Practice Location Address
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Address Line | 4541 ALRIX DR
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City | ORLANDO
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State | FL
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Zip | 32839-3160
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Country | US
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Telephone | 407-489-2121
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Fax | 407-352-2026
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Provider Business Mailing Address
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Address Line | 4541 ALRIX DR
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City | ORLANDO
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State | FL
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Zip | 32839-3160
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Country | US
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Telephone | 407-489-2121
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Fax | 407-352-2026
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Authorized Official
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Title or Position | OWNER
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Name | DR. NIKKI LYN KEEFER
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Credential | PH.D, BCBA
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Telephone | 407-489-2121
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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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH10896
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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