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General NPI Number Information
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NPI Number | 1972903524
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Entity Type | Organization
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Legal Business Name | 1ST JPA BEHAVIOR MANAGEMENT CLINIC INC
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 19001 SW 106TH AVE SUITE C103
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City | CUTLER BAY
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State | FL
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Zip | 33157-7669
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Country | US
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Telephone | 786-523-2352
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Fax | 786-431-4078
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Provider Business Mailing Address
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Address Line | 19001 SW 106TH AVE STE C103
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City | CUTLER BAY
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State | FL
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Zip | 33157-7669
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Country | US
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Telephone | 786-523-2352
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Fax | 786-431-4078
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMARILYS PEREZ
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Credential |
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Telephone | 786-200-7425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | FL
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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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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | FL
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