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General NPI Number Information
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NPI Number | 1982133328
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Entity Type | Organization
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Legal Business Name | KIDS CORNER BEHAVIOR SERVICES INC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 311 COMMERCE CENTER DR
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City | SAINT CLOUD
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State | FL
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Zip | 34769-1549
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Country | US
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Telephone | 407-201-6255
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Fax | 407-989-4040
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Provider Business Mailing Address
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Address Line | 311 COMMERCE CENTER DR
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City | SAINT CLOUD
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State | FL
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Zip | 34769-1549
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Country | US
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Telephone | 407-989-4040
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Fax | 407-989-4040
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Authorized Official
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Title or Position | DIRECTOR
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Name | LACEY LINAJA
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Credential |
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Telephone | 352-872-4098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 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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