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General NPI Number Information
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NPI Number | 1013330620
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Entity Type | Individual
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Provider Name | STEPHANIE ARIANA ACEVEDO-MORAN LMFT, LAADC,BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 5212 KATELLA AVE STE 103B
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-6828
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Country | US
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Telephone | 714-743-0704
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Fax |
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Provider Business Mailing Address
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Address Line | 10332 FLORENCE AVE
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City | BUENA PARK
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State | CA
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Zip | 90620-4425
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Country | US
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Telephone | 714-743-0704
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LR05740121
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License Number State | CA
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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 | 1-14-10236
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 98990
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License Number State | CA
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