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General NPI Number Information
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NPI Number | 1942911516
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Entity Type | Organization
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Legal Business Name | FLORIDA INTEGRATED THERAPY INC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 3508 NW 114TH AVE STE 101
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City | DORAL
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State | FL
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Zip | 33178-1841
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Country | US
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Telephone | 954-608-6767
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Fax | 786-866-0585
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Provider Business Mailing Address
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Address Line | 3508 NW 114TH AVE STE 101
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City | DORAL
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State | FL
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Zip | 33178-1841
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Country | US
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Telephone | 954-608-6767
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Fax | 786-866-0585
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Authorized Official
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Title or Position | OWNER
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Name | MISS ANDREA Y ZAMBRANO PENA I
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Credential | BCBA
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Telephone | 954-608-6767
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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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