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General NPI Number Information
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NPI Number | 1871051607
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Entity Type | Individual
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Provider Name | JOSE LUIS MESA LABRADA
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Gender | Male
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 1000 BRICKELL AVE STE 1100
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City | MIAMI
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State | FL
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Zip | 33131-3014
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Country | US
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Telephone | 305-562-6072
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Fax | 305-747-7310
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Provider Business Mailing Address
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Address Line | 1000 BRICKELL AVE STE 1100
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City | MIAMI
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State | FL
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Zip | 33131-3014
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Country | US
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Telephone | 305-562-6072
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Fax | 305-747-7310
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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 | 0-19-10467
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-49290
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-19-79021
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License Number State |
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