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General NPI Number Information
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NPI Number | 1083019822
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Entity Type | Organization
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Legal Business Name | BELLA VISTA BEHAVIOR SERVICES, LLC
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 2316 W WHITENDALE AVE SUITE B, #4
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City | VISALIA
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State | CA
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Zip | 93277-6131
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Country | US
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Telephone | 559-372-8175
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25042
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City | FRESNO
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State | CA
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Zip | 93729-5042
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Country | US
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Telephone | 559-892-4531
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Fax | 559-892-4550
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JESSIKA N FEIL
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Credential | BCBA
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Telephone | 559-372-8175
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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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