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NPI 1235920026

NPI 1235920026 : UNITY WAY ABA BEHAVIOR CONSULTANTS : SAN BERNARDINO, CA

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General NPI Number Information
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    NPI Number           |    1235920026
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNITY WAY ABA BEHAVIOR CONSULTANTS 
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Dates
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    Enumeration Date     |    05/13/2025
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    Last Update Date     |    09/29/2025
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Provider Practice Location Address
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    Address Line         |    473 E. CARNEGIE DR. #200 
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    City                 |    SAN BERNARDINO
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    State                |    CA
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    Zip                  |    92408
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    Country              |    US
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    Telephone            |    909-414-9003
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2999 KENDALL DR STE 204 PMB 1040
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    City                 |    SAN BERNARDINO
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    State                |    CA
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    Zip                  |    92407
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    Country              |    US
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    Telephone            |    909-414-9003
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/MANAGER
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    Name                 |     KARISSA R COLBERT 
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    Credential           |    BCBA
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    Telephone            |    909-414-9003
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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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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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