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General NPI Number Information
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NPI Number | 1639685886
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Entity Type | Organization
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Legal Business Name | OASIS BEHAVIOR CORP
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 8180 NW 36TH ST STE 421
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City | DORAL
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State | FL
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Zip | 33166-6686
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Country | US
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Telephone | 305-320-6605
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Fax | 305-320-6145
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Provider Business Mailing Address
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Address Line | 8180 NW 36TH ST STE 421
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City | DORAL
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State | FL
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Zip | 33166-6686
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Country | US
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Telephone | 305-320-6605
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Fax | 305-320-6145
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Authorized Official
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Title or Position | V-PRESIDENT
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Name | BERKYS HERNANDEZ
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Credential |
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Telephone | 305-320-6605
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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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