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General NPI Number Information
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NPI Number | 1922528843
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Entity Type | Organization
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Legal Business Name | OSPA BEHAVIOR THERAPY SERVICES INC
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9290 HAMMOCKS BLVD # 401
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City | MIAMI
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State | FL
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Zip | 36319
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Country | US
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Telephone | 786-558-5694
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Fax | 786-913-7034
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Provider Business Mailing Address
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Address Line | 9290 HAMMOCKS BLVD STE 401
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City | MIAMI
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State | FL
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Zip | 33196-1347
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Country | US
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Telephone | 786-558-5694
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Fax | 786-913-7034
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOAN P HERNANDEZ
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Credential |
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Telephone | 786-558-5694
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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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