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NPI 1023532561

NPI 1023532561 : DR C B CONSULTING : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1023532561
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR C B CONSULTING 
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Dates
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    Enumeration Date     |    07/26/2017
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    Last Update Date     |    06/16/2018
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Provider Practice Location Address
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    Address Line         |    7190 W SUNSET BLVD # 1070 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90046-4415
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    Country              |    US
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    Telephone            |    877-383-1038
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7190 W SUNSET BLVD # 1070 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90046-4415
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    Country              |    US
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    Telephone            |    877-383-1038
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     CYNTHIA  BOYLE 
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    Credential           |    
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    Telephone            |    877-383-1038
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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       |    1-07-3465
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    License Number State |    
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