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General NPI Number Information
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NPI Number | 1871230466
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Entity Type | Organization
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Legal Business Name | FLORIDA DEVELOPMENTAL THERAPY CENTER LLC
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1411 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33145-2876
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Country | US
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Telephone | 305-619-9231
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Fax | 305-390-3955
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Provider Business Mailing Address
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Address Line | 1411 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33145-2876
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Country | US
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Telephone | 305-619-9231
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Fax | 305-390-3955
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Authorized Official
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Title or Position | OWNER
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Name | YOEL LEYVA
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Credential |
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Telephone | 305-343-8505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 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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