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Contact Information

HIDDEN POTENTIAL FLORIDA LLC
2857 SOUTH BUMBY AVENUE
ORLANDO, FL32806
 Phone: 407-800-7711
 Fax: 407-317-6571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistant Behavior Analyst

106E00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for HIDDEN POTENTIAL FLORIDA LLC

NPI # 1508404211
LBN Legal business name HIDDEN POTENTIAL FLORIDA LLC
Authorized official JENNIFER BLAIR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2019
Last updated 12/12/2019 - About 6 years ago
Identifiers
FL Medicaid 018010800
FL Other 14230101 CAQH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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