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NPI 1134862097

NPI 1134862097 : JOANA J SCHRECK : ONTARIO, CA

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General NPI Number Information
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    NPI Number           |    1134862097
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    Entity Type          |    Individual 
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    Provider Name        |    JOANA J SCHRECK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/19/2022
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    Last Update Date     |    01/05/2026
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Provider Practice Location Address
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    Address Line         |    3045 S ARCHIBALD AVE, STE H-1043 
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    City                 |    ONTARIO
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    State                |    CA
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    Zip                  |    91761-9001
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    Country              |    US
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    Telephone            |    855-832-6727
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7108 SOUTH KANNER HWY 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34997-7462
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    Country              |    US
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    Telephone            |    781-437-0791
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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        |    106E00000X
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    Taxonomy Name        |    Assistant Behavior Analyst
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    License Number       |    0-25-16009
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-21-163093
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    License Number State |    
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