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General NPI Number Information
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NPI Number | 1083518203
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Entity Type | Organization
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Legal Business Name | FAITHFUL FOUNDATIONS ABA LLC
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 1048 6TH ST
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City | LOS BANOS
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State | CA
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Zip | 93635-4218
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Country | US
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Telephone | 209-675-0614
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Fax |
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Provider Business Mailing Address
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Address Line | 1048 6TH ST
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City | LOS BANOS
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State | CA
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Zip | 93635-4218
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Country | US
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Telephone | 209-675-0614
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAEGAN GOULD
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Credential | MS., BCBA., LBA
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Telephone | 209-675-0614
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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 | NULL
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