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General NPI Number Information
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NPI Number | 1720711377
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Entity Type | Individual
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Provider Name | AMANDA GARCIA REGISTER BEHAVIOR TE
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Gender | Female
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 6625 MIAMI LAKES DR SUITE 374
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City | MIAMI LAKES DR 374
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State | FL
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Zip | 33014-2710
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Country | US
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Telephone | 305-777-3883
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Fax | 305-777-3837
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Provider Business Mailing Address
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Address Line | 15539 MIAMI LAKEWAY #207
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City | MIAMI LAKES
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State | FL
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Zip | 33014-5560
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Country | US
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Telephone | 305-988-3176
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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 | RBT-21-193234
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License Number State | FL
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