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General NPI Number Information
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NPI Number | 1841184041
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Entity Type | Organization
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Legal Business Name | NEUROQUEST LLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1801 SW 22ND ST STE 328
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City | MIAMI
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State | FL
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Zip | 33145
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Country | US
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Telephone | 786-536-7694
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Fax | 305-680-3954
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Provider Business Mailing Address
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Address Line | 3950 SW 2ND TER
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City | CORAL GABLES
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State | FL
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Zip | 33134
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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 | PRESIDENT
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Name | MARTHA M BRIZUELA
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Credential |
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Telephone | 786-282-4960
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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 | 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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