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General NPI Number Information
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NPI Number | 1881309763
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Entity Type | Individual
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Provider Name | BRITTNEY VICTORIA ELLIS
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Gender | Female
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 17170 122ND DR N
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City | JUPITER
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State | FL
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Zip | 33478-5203
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Country | US
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Telephone | 561-768-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 136 22ND AVE
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City | VERO BEACH
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State | FL
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Zip | 32962-2655
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 776015
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License Number State | FL
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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 | 1-26-87001
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License Number State | FL
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