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General NPI Number Information
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NPI Number | 1679242978
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Entity Type | Individual
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Provider Name | BRYANA CORREA
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Gender | Female
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 5783 CROWNTREE LN APT 301
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City | ORLANDO
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State | FL
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Zip | 32829-8063
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Country | US
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Telephone | 561-635-1705
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 KENWOOD RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-7408
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Country | US
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Telephone | 561-932-3938
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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