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General NPI Number Information
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NPI Number | 1649954942
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Entity Type | Organization
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Legal Business Name | APPLIED BEHAVIORAL AND COGNITIVE THERAPY SERVICES LLC
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 4812 SW 74TH CT # 3
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City | MIAMI
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State | FL
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Zip | 33155-4448
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Country | US
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Telephone | 786-259-6977
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Fax | 786-206-8508
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Provider Business Mailing Address
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Address Line | 4812 SW 74TH CT # 3
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City | MIAMI
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State | FL
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Zip | 33155-4448
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Country | US
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Telephone | 786-259-6977
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Fax | 786-206-8508
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Authorized Official
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Title or Position | CO-OWNER
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Name | LISETTE DIANNE RESTREPO
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Credential | PSY. S., LSP, NCSP
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Telephone | 786-255-3752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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