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General NPI Number Information
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NPI Number | 1649098427
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Entity Type | Organization
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Legal Business Name | PRAXIS THERAPY SERVICES LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 12121 FALL CREEK CT
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City | HUDSON
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State | FL
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Zip | 34669-2887
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Country | US
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Telephone | 813-384-8372
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Fax |
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Provider Business Mailing Address
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Address Line | 14851 STATE ROAD 52 UNIT 107
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City | HUDSON
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State | FL
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Zip | 34669-4061
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Country | US
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Telephone | 813-384-8372
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MISS MORGAN MCKEOWN
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Credential | MA, BCBA, IBA
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Telephone | 813-384-8372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 225X00000X
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Taxonomy Name | Occupational 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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #7
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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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