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General NPI Number Information
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NPI Number | 1184517245
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Entity Type | Organization
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Legal Business Name | IMABA INC.
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 6235 N FRESNO ST STE 106
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City | FRESNO
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State | CA
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Zip | 93710-5269
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Country | US
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Telephone | 559-977-7321
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Fax | 844-946-0884
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Provider Business Mailing Address
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Address Line | 3251 SALEM AVE
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City | CLOVIS
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State | CA
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Zip | 93619-8278
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Country | US
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Telephone | 559-790-8136
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Fax | 844-946-0884
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Authorized Official
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Title or Position | CEO & BCBA
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Name | GINA VUE
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Credential | BCBA
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Telephone | 559-790-8136
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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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