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General NPI Number Information
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NPI Number | 1669103875
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Entity Type | Organization
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Legal Business Name | AWC BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 06/19/2022
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 370 CAMINO GARDENS BLVD STE 201B
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City | BOCA RATON
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State | FL
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Zip | 33432-5837
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Country | US
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Telephone | 954-830-0915
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Fax | 561-516-5529
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Provider Business Mailing Address
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Address Line | 7618 MARGATE BLVD
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City | MARGATE
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State | FL
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Zip | 33063-3352
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Country | US
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Telephone | 954-274-1701
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VIRGINIE AUGUSTIN
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Credential |
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Telephone | 954-274-1701
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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 | 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 #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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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