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General NPI Number Information
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NPI Number | 1811530405
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Entity Type | Organization
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Legal Business Name | STABLE BEHAVIORS, LLC
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 31601 SW 197TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-5219
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Country | US
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Telephone | 786-972-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 31601 SW 197TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-5219
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Country | US
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Telephone | 786-972-1560
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TONA MASON
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Credential |
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Telephone | 786-972-1560
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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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Taxonomy #2
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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 #3
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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 #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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