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General NPI Number Information
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NPI Number | 1073861258
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Entity Type | Organization
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Legal Business Name | REACH BEHAVIOR SERVICES
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Dates
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Enumeration Date | 08/20/2012
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 13331 GARDEN GROVE BLVD SUITE E
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City | GARDEN GROVE
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State | CA
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Zip | 92843-2254
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Country | US
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Telephone | 714-235-1936
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Fax |
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Provider Business Mailing Address
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Address Line | 11770 WARNER AVE SUITE 214
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2663
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Country | US
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Telephone | 714-235-1936
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ANH THI PHAN-CHU
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Credential | M.S., BCBA
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Telephone | 714-235-1936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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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 |
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License Number State |
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