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General NPI Number Information
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NPI Number | 1205297421
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Entity Type | Individual
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Provider Name | JAVIER MURILLO JR. M.S., BCBA
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Gender | Male
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 12630 BROOKHURST ST STE D
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4800
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Country | US
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Telephone | 909-952-2860
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 NORMA ST
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City | OXNARD
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State | CA
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Zip | 93036-2711
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Country | US
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Telephone | 805-815-9048
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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 | 1-22-58215
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License Number State | CA
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