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General NPI Number Information
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NPI Number | 1992696280
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Entity Type | Organization
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Legal Business Name | AMAZING KIDS: VIRTUAL AUTISM EVALUATIONS
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 474 BARNES BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-5321
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Country | US
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Telephone | 571-477-1539
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Fax |
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Provider Business Mailing Address
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Address Line | 474 BARNES BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-5321
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | JENNIFER HENSLEY
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Credential | DNP, CPNP-PC, PMHS
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Telephone | 254-383-8580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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