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General NPI Number Information
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NPI Number | 1205391539
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL CONCEPTS
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 23151 VERDUGO DR STE 113
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1340
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Country | US
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Telephone | 949-954-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 10671 TIBBS CIR APT 8
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City | GARDEN GROVE
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State | CA
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Zip | 92840-1319
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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 | RBT
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Name | KAZANDRA MALDONADO-RAMIREZ
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Credential |
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Telephone | 714-253-9078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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