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General NPI Number Information
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NPI Number | 1194688135
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Entity Type | Organization
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Legal Business Name | SUCCESSFUL LIVINGS LLC.
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Dates
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Enumeration Date | 12/06/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 43646 W YUCCA LN
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City | MARICOPA
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State | AZ
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Zip | 85138-2011
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Country | US
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Telephone | 520-483-4219
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Fax |
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Provider Business Mailing Address
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Address Line | 43646 W YUCCA LN
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City | MARICOPA
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State | AZ
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Zip | 85138-2011
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | DARRELL LEMONT ELLIS
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Credential |
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Telephone | 520-483-4219
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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 |
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License Number State |
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