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General NPI Number Information
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NPI Number | 1225646490
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Entity Type | Organization
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Legal Business Name | SUNSHINE BEHAVIORAL CONSULTING
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 4624 PEMBROKE BLVD STE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6450
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Country | US
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Telephone | 757-450-8507
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Fax | 757-585-3544
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Provider Business Mailing Address
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Address Line | 4624 PEMBROKE BLVD STE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6450
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Country | US
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Telephone | 757-450-8507
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Fax | 757-585-3544
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Authorized Official
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Title or Position | CEO / CLINICAL DIRECTOR
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Name | MS. MEGHAN ANDREA RANDOLPH
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Credential | BCBA, LBA
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Telephone | 757-450-8507
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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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