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General NPI Number Information
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NPI Number | 1831718071
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Entity Type | Organization
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Legal Business Name | LOOK UP THERAPY LLC
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 5840 CORPORATE WAY STE 102
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2040
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Country | US
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Telephone | 561-203-0714
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Fax |
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Provider Business Mailing Address
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Address Line | 5840 CORPORATE WAY STE 102
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2040
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Country | US
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Telephone | 561-203-0714
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | CHRISTIAN EMMANUEL SANON II
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Credential | MS
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Telephone | 954-830-2581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 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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Taxonomy #3
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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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