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General NPI Number Information
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NPI Number | 1871456145
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Entity Type | Organization
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Legal Business Name | AWESOMETISM BRAIN TRAIN LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 2045 AMBERGRIS DR
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City | ORLANDO
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State | FL
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Zip | 32822
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Country | US
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Telephone | 352-667-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E PINE ST STE 110
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City | ORLANDO
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State | FL
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Zip | 32801-2759
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Country | US
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Telephone | 352-667-5576
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. SAHAR YASSER HASSANE
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Credential | M.ED., BCBA, LBA
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Telephone | 352-667-5576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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