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NPI 1841762986

NPI 1841762986 : ROSANA FRIAS : WESTON, FL

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General NPI Number Information
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    NPI Number           |    1841762986
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    Entity Type          |    Individual 
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    Provider Name        |    ROSANA FRIAS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/31/2018
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    Last Update Date     |    09/24/2025
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Provider Practice Location Address
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    Address Line         |    1820 N CORPORATE LAKES BLVD STE 206-12 
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    City                 |    WESTON
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    State                |    FL
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    Zip                  |    33326-3267
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    Country              |    US
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    Telephone            |    305-322-3371
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    Fax                  |    786-957-2860
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Provider Business Mailing Address
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    Address Line         |    8965 NW 144TH TER 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33018-7342
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    Country              |    US
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    Telephone            |    305-322-3371
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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       |    BCBA-1-23-68588
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    SW24884
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    License Number State |    FL
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