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General NPI Number Information
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NPI Number | 1891448940
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Entity Type | Organization
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Legal Business Name | CHILDRENS BEHAVIOR ASSISTANCE
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Dates
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Enumeration Date | 01/29/2022
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 515 N FLAGLER DR STE P300
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-4326
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Country | US
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Telephone | 305-307-6640
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Fax |
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Provider Business Mailing Address
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Address Line | 515 N FLAGLER DR STE P300
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-4326
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Country | US
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Telephone | 305-307-6640
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS CHABELI L BRIONES
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Credential |
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Telephone | 305-307-6640
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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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