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General NPI Number Information
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NPI Number | 1699564096
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Entity Type | Organization
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Legal Business Name | FLAMBOYAN BEHAVIORAL SERVICES, LLC
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 1473 CALLE WILSON STE 304
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City | SAN JUAN
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State | PR
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Zip | 00907-2364
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Country | US
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Telephone | 787-489-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 1473 CALLE WILSON STE 304
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City | SAN JUAN
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State | PR
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Zip | 00907-2364
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Country | US
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Telephone | 787-489-0088
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | YANIZ CRISTINA PADILLA DALMAU
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Credential | PHD, BCBA-D
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Telephone | 267-235-6777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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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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