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General NPI Number Information
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NPI Number | 1962121053
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Entity Type | Organization
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Legal Business Name | GLOBAL BEHAVIORAL THERAPY CORP
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 8865 COMMODITY CIR STE 7A
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City | ORLANDO
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State | FL
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Zip | 32819-9077
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Country | US
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Telephone | 407-317-5096
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Fax | 407-317-4684
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Provider Business Mailing Address
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Address Line | 12236 MANADO ST
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City | ORLANDO
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State | FL
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Zip | 32837-6735
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Country | US
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Telephone | 407-325-7427
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Fax | 407-317-4684
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Authorized Official
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Title or Position | CEO
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Name | MRS. LORENA JAHONKA VILLARREAL
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Credential |
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Telephone | 407-325-7427
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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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