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General NPI Number Information
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NPI Number | 1982179578
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Entity Type | Individual
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Provider Name | IBIS PAIFER BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 13370 SW 131ST ST STE 104
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City | MIAMI
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State | FL
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Zip | 33186-5856
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Country | US
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Telephone | 786-581-9644
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Fax | 305-290-5902
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Provider Business Mailing Address
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Address Line | 13246 SW 86TH ST
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City | MIAMI
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State | FL
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Zip | 33183-4161
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Country | US
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Telephone | 786-930-5840
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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 | 1-19-38783
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CBHCM100340
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License Number State |
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