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NPI 1912367558

NPI 1912367558 : BEHAVIOR SUPPORT CENTER OF FLORIDA INC : MIAMI LAKES, FL

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General NPI Number Information
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    NPI Number           |    1912367558
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEHAVIOR SUPPORT CENTER OF FLORIDA INC 
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Dates
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    Enumeration Date     |    02/24/2016
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    Last Update Date     |    12/25/2025
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Provider Practice Location Address
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    Address Line         |    16440 NW 59TH AVE 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33014-5602
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    Country              |    US
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    Telephone            |    786-536-7561
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    Fax                  |    305-437-8180
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Provider Business Mailing Address
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    Address Line         |    16440 NW 59TH AVE 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33014-5602
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    Country              |    US
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    Telephone            |    786-536-7561
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    Fax                  |    305-437-8180
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BRANDY  GUZMAN 
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    Credential           |    
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    Telephone            |    305-587-6748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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Taxonomy #4
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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