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General NPI Number Information
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NPI Number | 1700556909
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Entity Type | Organization
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Legal Business Name | SUNNY THERAPY SERVICES
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Dates
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Enumeration Date | 09/18/2021
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Last Update Date | 09/18/2021
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Provider Practice Location Address
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Address Line | 5550 GLADES RD STE 305-23
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City | BOCA RATON
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State | FL
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Zip | 33431-7205
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Country | US
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Telephone | 305-351-6923
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Fax |
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Provider Business Mailing Address
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Address Line | 5550 GLADES RD STE 305-23
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City | BOCA RATON
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State | FL
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Zip | 33431-7205
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Country | US
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Telephone | 305-351-6923
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MARIA INES BARRAGUE
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Credential | LMHC
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Telephone | 305-351-6923
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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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