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General NPI Number Information
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NPI Number | 1821797713
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Entity Type | Individual
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Provider Name | LIBNI SADAI RODRIGUEZ MACHADO
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Gender | Female
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 19001 SW 106TH AVE STE 107-108
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City | CUTLER BAY
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State | FL
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Zip | 33157-7669
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Country | US
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Telephone | 305-378-5775
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Fax |
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Provider Business Mailing Address
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Address Line | 4102 NE 25TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-5157
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Country | US
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Telephone |
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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 | 1-25-85485
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License Number State | FL
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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 | RBT-23-260732
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License Number State | FL
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