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General NPI Number Information
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NPI Number | 1659975589
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Entity Type | Organization
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Legal Business Name | FLORIDA BEHAVIOR ANALYST
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Dates
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Enumeration Date | 11/22/2020
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Last Update Date | 11/22/2020
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Provider Practice Location Address
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Address Line | 7501 W COLONIAL DR UNIT 140
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City | ORLANDO
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State | FL
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Zip | 32818-6665
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Country | US
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Telephone | 786-332-1457
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Fax |
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Provider Business Mailing Address
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Address Line | 13345 SW 250TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33032-2583
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Country | US
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Telephone | 786-498-1646
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARIA D. BROWN
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Credential | MA, BCBA
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Telephone | 786-498-1646
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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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