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General NPI Number Information
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NPI Number | 1962922492
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Entity Type | Organization
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Legal Business Name | ADVANCED BEHAVIOR COALITION INC
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 10481 N KENDALL DR STE D201
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City | MIAMI
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State | FL
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Zip | 33176-1528
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Country | US
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Telephone | 786-560-3505
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Fax |
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Provider Business Mailing Address
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Address Line | 9214 SW 170TH AVE
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City | MIAMI
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State | FL
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Zip | 33196-2955
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Country | US
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Telephone | 786-354-5416
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Fax |
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | ESTEFANIA SALAZAR
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Credential |
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Telephone | 786-354-5416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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 | FL
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