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General NPI Number Information
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NPI Number | 1215443197
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Entity Type | Organization
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Legal Business Name | CALIFORNIA BEHAVIORAL CARE, LLC
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2627 MANHATTAN BEACH BLVD STE 208
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City | REDONDO BEACH
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State | CA
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Zip | 90278-1609
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Country | US
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Telephone | 323-744-1314
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Fax | 323-544-0991
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Provider Business Mailing Address
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Address Line | 2627 MANHATTAN BEACH BLVD STE 208
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City | REDONDO BEACH
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State | CA
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Zip | 90278-1609
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Country | US
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Telephone | 323-744-1314
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Fax | 323-544-0991
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Authorized Official
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Title or Position | OWNER
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Name | MARGARITA CHAMLAIAN
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Credential | BCBA
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Telephone | 323-744-1314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 1-14-17348
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License Number State | CA
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Taxonomy #3
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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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Taxonomy #4
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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 #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-17348
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License Number State | CA
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