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General NPI Number Information
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NPI Number | 1689277139
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Entity Type | Organization
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Legal Business Name | MAX BEHAVIOR SOLUTIONS CORP
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 224 WASHINGTON AVE STE 1
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City | HOMESTEAD
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State | FL
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Zip | 33030-6061
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Country | US
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Telephone | 786-340-5214
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Fax |
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Provider Business Mailing Address
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Address Line | 20230 SW 320TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-5103
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Country | US
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Telephone | 786-340-5214
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALINA RODRIGUEZ SANCHEZ
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Credential |
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Telephone | 535-419-7433
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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