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General NPI Number Information
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NPI Number | 1699376418
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Entity Type | Individual
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Provider Name | SARA YOUSEF
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Gender | Female
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1912 DAIRY RD
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-4046
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Country | US
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Telephone | 321-413-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 2185 ROBERT J CONLAN BLVD NE APT 212
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City | PALM BAY
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State | FL
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Zip | 32905-2768
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Country | US
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Telephone | 407-808-9675
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BACB568897
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License Number State | FL
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