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General NPI Number Information
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NPI Number | 1871132290
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Entity Type | Individual
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Provider Name | DIEUDONNE CESAR
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Gender | Male
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 10347 GENTLEWOOD FOREST DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33473-4863
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Country | US
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Telephone | 561-962-1284
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Fax |
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Provider Business Mailing Address
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Address Line | 5860 TEAKWOOD RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-6313
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Country | US
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Telephone | 845-480-4452
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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 | 1-24-75488
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-23-14767
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License Number State | FL
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