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General NPI Number Information
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NPI Number | 1881569754
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Entity Type | Organization
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Legal Business Name | BEHAVIOR ONE THERAPY INC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 8821 NW 153RD TER
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City | MIAMI LAKES
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State | FL
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Zip | 33018-1355
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Country | US
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Telephone | 305-326-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 SW 145TH AVE # 364
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City | MIRAMAR
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State | FL
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Zip | 33027-6616
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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 | MGR
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Name | RODY BLANCO
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Credential | BCABA
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Telephone | 305-326-3416
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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 |
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License Number State |
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