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General NPI Number Information
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NPI Number | 1801370747
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST BEHAVIOR INC.
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 7930 BAYFLOWER WAY
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City | ORLANDO
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State | FL
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Zip | 32836-3760
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Country | US
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Telephone | 321-217-7778
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Fax |
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Provider Business Mailing Address
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Address Line | 7930 BAYFLOWER WAY
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City | ORLANDO
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State | FL
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Zip | 32836-3760
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Country | US
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Telephone | 321-217-7778
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTINE OWENS
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Credential | M.A., BCBA
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Telephone | 321-217-7778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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