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General NPI Number Information
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NPI Number | 1942421342
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Entity Type | Individual
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Provider Name | LISSETTE GIL LMHC, LSP, BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 12/28/2025
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Provider Practice Location Address
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Address Line | 10661 N KENDALL DR STE 214
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City | MIAMI
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State | FL
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Zip | 33176-1550
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Country | US
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Telephone | 305-903-3505
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Fax |
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Provider Business Mailing Address
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Address Line | 4530 SW 154TH PL
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City | MIAMI
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State | FL
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Zip | 33185-4260
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Country | US
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Telephone | 305-903-3505
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Fax | 305-228-0855
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | SS679
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | SS679
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH7915
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-54264
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License Number State |
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