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General NPI Number Information
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NPI Number | 1619847498
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Entity Type | Organization
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Legal Business Name | RISING MINDS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 8723 SW 129TH ST
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City | MIAMI
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State | FL
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Zip | 33176-5916
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Country | US
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Telephone | 720-969-2770
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 SW 8TH ST APT 612
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City | MIAMI
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State | FL
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Zip | 33135-3599
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | ANNIE MENA GONZALEZ
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Credential | MS
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Telephone | 720-969-2770
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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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