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General NPI Number Information
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NPI Number | 1215393178
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Entity Type | Organization
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Legal Business Name | AUTISM SPECTRUM THERAPIES LLC
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 6601 OWENS DR STE 270
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City | PLEASANTON
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State | CA
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Zip | 94588-3362
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Country | US
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Telephone | 866-727-8274
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 N HOLLYWOOD WAY STE 102
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City | BURBANK
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State | CA
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Zip | 91505-5031
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Country | US
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Telephone | 866-727-8274
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Fax |
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Authorized Official
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Title or Position | VP CONTROLLER
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Name | SARAH SPECTOR
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Credential |
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Telephone | 866-727-8274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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