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General NPI Number Information
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NPI Number | 1184098519
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Entity Type | Individual
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Provider Name | ANKA AMADEO M.A., BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 12443 LEWIS ST STE 201
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4650
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Country | US
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Telephone | 714-748-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 4245 W 182ND ST APT E
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City | TORRANCE
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State | CA
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Zip | 90504-4635
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Country | US
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Telephone | 425-323-2189
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 103K00000X
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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 | 1-21-50901
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License Number State | CA
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