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General NPI Number Information
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NPI Number | 1205761962
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Entity Type | Individual
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Provider Name | HAILEY S MONTESINOS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 500 S SEPULVEDA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90049-3540
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Country | US
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Telephone | 323-303-6078
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Fax |
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Provider Business Mailing Address
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Address Line | 11330 ELKWOOD ST
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City | SUN VALLEY
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State | CA
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Zip | 91352-4439
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Country | US
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Telephone | 323-303-6078
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Fax | 818-527-2326
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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