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General NPI Number Information
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NPI Number | 1972189165
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Entity Type | Individual
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Provider Name | ELIZABETH PARRA
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Gender | Female
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 12485 SW 137TH AVE STE 106
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City | MIAMI
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State | FL
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Zip | 33186-4215
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Country | US
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Telephone | 786-250-4423
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Fax |
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Provider Business Mailing Address
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Address Line | 8419 NW 189TH STREET RD
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City | HIALEAH
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State | FL
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Zip | 33015-5391
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Country | US
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Telephone | 305-927-8793
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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 | 1-25-80137
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License Number State | FL
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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 | RBT-20130370
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License Number State | FL
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