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General NPI Number Information
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NPI Number | 1194374470
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE BEHAVIOR SOLUTIONS, INC.
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 2 EXECUTIVE CIR STE 110
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City | IRVINE
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State | CA
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Zip | 92614-6782
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Country | US
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Telephone | 714-760-9326
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Fax | 888-371-8987
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Provider Business Mailing Address
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Address Line | 2 EXECUTIVE CIR STE 110
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City | IRVINE
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State | CA
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Zip | 92614-6782
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Country | US
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Telephone | 714-760-9326
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Fax | 888-371-8987
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK CHRISTOPHER VIOLETTI
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Credential | M.A., BCBA
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Telephone | 714-760-9326
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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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