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General NPI Number Information
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NPI Number | 1114872892
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Entity Type | Individual
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Provider Name | JOSELYN TIRADO
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Gender | Female
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 560 E HOSPITALITY LN STE 400
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3545
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Country | US
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Telephone | 840-260-0857
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Fax |
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Provider Business Mailing Address
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Address Line | 9632 PERIDOT AVE
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City | HESPERIA
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State | CA
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Zip | 92344-8017
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Country | US
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Telephone | 760-718-9804
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | Y8765423
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License Number State | CA
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