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General NPI Number Information
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NPI Number | 1063787620
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Entity Type | Individual
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Provider Name | ELIZABETH DELPIZZO-CHENG PH.D., BCBA-D
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Gender | Female
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 1481 LANCE DR
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City | TUSTIN
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State | CA
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Zip | 92780-4544
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Country | US
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Telephone | 714-552-5563
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Fax |
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Provider Business Mailing Address
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Address Line | 360 E 1ST ST # 991
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City | TUSTIN
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State | CA
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Zip | 92780-3211
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Country | US
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Telephone | 714-552-5563
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-01-0611
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 22346
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License Number State | CA
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