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General NPI Number Information
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NPI Number | 1043008675
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Entity Type | Organization
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Legal Business Name | PRECISE BEHAVIORAL, INC.
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 2393 TOWNSGATE RD STE 104
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2513
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Country | US
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Telephone | 805-601-5199
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Fax | 805-855-4771
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Provider Business Mailing Address
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Address Line | 2393 TOWNSGATE RD STE 104
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2513
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Country | US
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Telephone | 805-601-5199
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Fax | 805-855-4771
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Authorized Official
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Title or Position | CEO
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Name | NITIN NANDA
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Credential | MD
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Telephone | 805-601-5199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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