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General NPI Number Information
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NPI Number | 1689500381
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Entity Type | Organization
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Legal Business Name | WESTERN BEHAVIORAL CENTER, LLC
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Dates
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Enumeration Date | 06/20/2026
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Last Update Date | 06/20/2026
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Provider Practice Location Address
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Address Line | 6400 MANATEE AVE W STE L, OFFICE 118
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City | BRADENTON
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State | FL
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Zip | 34209
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Country | US
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Telephone | 941-208-1878
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Fax | 941-289-0879
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Provider Business Mailing Address
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Address Line | 6400 MANATEE AVE W STE L, OFFICE 118
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City | BRADENTON
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State | FL
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Zip | 34209
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Country | US
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Telephone | 941-208-1878
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Fax | 941-289-0879
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Authorized Official
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Title or Position | DIRECTOR
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Name | JORGE FELIX ALCINA
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Credential | PSYD
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Telephone | 941-208-1878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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