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General NPI Number Information
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NPI Number | 1851822506
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Entity Type | Individual
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Provider Name | YANELIS RAMIREZ ORDAZ
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Gender | Female
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 2615 FAIRWAYS DR
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City | HOMESTEAD
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State | FL
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Zip | 33035-1173
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Country | US
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Telephone | 800-920-2927
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Fax |
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Provider Business Mailing Address
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Address Line | 25051 SW 129TH CT
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City | HOMESTEAD
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State | FL
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Zip | 33032-5751
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Country | US
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Telephone | 305-746-7322
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-19-10309
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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-17-27845
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License Number State | FL
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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 | 1-21-55055
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License Number State | FL
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