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General NPI Number Information
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NPI Number | 1730686247
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Entity Type | Individual
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Provider Name | BARBARA DIAZ LLANES BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 18001 OLD CUTLER RD STE 550
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City | PALMETTO BAY
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State | FL
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Zip | 33157-6439
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Country | US
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Telephone | 786-569-6783
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Fax |
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Provider Business Mailing Address
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Address Line | 18001 OLD CUTLER RD STE 550
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City | PALMETTO BAY
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State | FL
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Zip | 33157-6439
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Country | US
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Telephone | 786-569-6783
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 6690
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License Number State | TX
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Taxonomy #2
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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 #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-50682
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License Number State | FL
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