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General NPI Number Information
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NPI Number | 1902768393
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Entity Type | Organization
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Legal Business Name | BLUE MIND BEHAVIOR CENTER INC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 6207 KATY GASTON RD APT 3120
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City | KATY
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State | TX
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Zip | 77494-7452
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Country | US
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Telephone | 786-307-6370
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Fax | 888-543-7136
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Provider Business Mailing Address
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Address Line | 14220 SW 55TH ST
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City | MIAMI
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State | FL
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Zip | 33175-5986
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Country | US
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Telephone | 786-307-6370
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Fax | 888-543-7136
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Authorized Official
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Title or Position | CEO
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Name | ROSALIA GALAN GOICOCHEA
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Credential |
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Telephone | 786-307-6370
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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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