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General NPI Number Information
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NPI Number | 1922755867
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Entity Type | Individual
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Provider Name | LUIS MANUEL BELTRAN
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Gender | Male
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 13650 NW 8TH ST STE 109
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City | SUNRISE
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State | FL
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Zip | 33325-6239
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Country | US
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Telephone | 888-754-0398
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Fax |
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Provider Business Mailing Address
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Address Line | 8817 NW 145TH TER
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City | MIAMI LAKES
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State | FL
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Zip | 33018-8018
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Country | US
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Telephone | 305-409-9779
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | BCBA1-23-69477
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License Number State | FL
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