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NPI 1902543853

NPI 1902543853 : EMBRACE BEHAVIORAL SERVICES : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1902543853
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMBRACE BEHAVIORAL SERVICES 
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Dates
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    Enumeration Date     |    05/12/2022
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    Last Update Date     |    01/17/2025
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Provider Practice Location Address
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    Address Line         |    12150 SW 128TH CT STE 220 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33186-4674
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    Country              |    US
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    Telephone            |    786-597-3813
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    Fax                  |    786-814-0732
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Provider Business Mailing Address
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    Address Line         |    12150 SW 128TH CT STE 220 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33186-4674
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    Country              |    US
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    Telephone            |    786-597-3813
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    Fax                  |    786-814-0732
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     JULIET F ARRUE GONZALEZ 
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    Credential           |    BCBA
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    Telephone            |    786-597-3813
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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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