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General NPI Number Information
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NPI Number | 1225663644
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Entity Type | Organization
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Legal Business Name | ANCHOBEHAVIORALHEALTH
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 3356 MICHAEL DR
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City | MARINA
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State | CA
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Zip | 93933-2314
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Country | US
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Telephone | 626-428-6634
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Fax |
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Provider Business Mailing Address
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Address Line | 679 JASMINE RD
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City | FUQUAY-VARINA
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State | NC
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Zip | 27526
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Country | US
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Telephone | 626-428-6634
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CHIEMEKA C ANUNKOR
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Credential | BEHAVIOR ANALYST
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Telephone | 626-428-6634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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