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General NPI Number Information
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NPI Number | 1649088097
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Entity Type | Organization
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Legal Business Name | WITHOUT LIMITS THERAPY SERVICES INC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 10163 FORTUNE PKWY # G35
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City | JACKSONVILLE
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State | FL
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Zip | 32256-3519
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Country | US
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Telephone | 305-603-8747
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Fax | 305-603-8747
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Provider Business Mailing Address
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Address Line | 2500 NW 79TH AVE STE 234
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City | DORAL
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State | FL
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Zip | 33122-1086
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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 | P
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Name | JOHN CHAQUINGA
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Credential | LMHC
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Telephone | 305-603-8747
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 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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