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General NPI Number Information
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NPI Number | 1215878632
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Entity Type | Organization
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Legal Business Name | NEURODIVERSITY CARE CENTER
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 5115 VESPER AVE
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1446
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Country | US
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Telephone | 310-779-4296
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 VESPER AVE
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1446
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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 | OWNER/SUPERVISOR
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Name | KRISTEN BAIRD-GOLDMAN
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Credential | LMFT, CIMHP
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Telephone | 818-276-6826
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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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