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General NPI Number Information
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NPI Number | 1679836258
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Entity Type | Organization
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Legal Business Name | BEHAVIOR CARE, INC.
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 5608 WILDE OAK WAY
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City | SARASOTA
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State | FL
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Zip | 34232-6611
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Country | US
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Telephone | 941-266-8634
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Fax |
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Provider Business Mailing Address
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Address Line | 5608 WILDE OAK WAY
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City | SARASOTA
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State | FL
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Zip | 34232-6611
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Country | US
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Telephone | 941-266-8634
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEWIS WEBER
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Credential | BCBA
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Telephone | 941-266-8634
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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 | 1-02-0977
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License Number State | FL
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