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General NPI Number Information
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NPI Number | 1659251718
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Entity Type | Organization
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Legal Business Name | JOURNEY OF LOVE BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3312 GATOR BAY CREEK BLVD
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City | SAINT CLOUD
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State | FL
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Zip | 34772-7388
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Country | US
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Telephone | 407-952-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 3312 GATOR BAY CREEK BLVD
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City | SAINT CLOUD
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State | FL
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Zip | 34772-7388
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Country | US
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Telephone | 407-952-0234
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | DAISY J OCASIO
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Credential | BCABA
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Telephone | 407-952-0234
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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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