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General NPI Number Information
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NPI Number | 1043028814
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Entity Type | Organization
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Legal Business Name | M2C BEHAVIORAL HEALTH CORP
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 22263 HORIZON PL
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City | CHATSWORTH
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State | CA
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Zip | 91311-1267
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Country | US
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Telephone | 747-777-0295
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD # 572572
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 747-777-0295
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CARINE GUIRGUIS
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Credential | BCBA
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Telephone | 818-572-6147
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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 |
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License Number State |
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