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General NPI Number Information
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NPI Number | 1245947605
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Entity Type | Organization
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Legal Business Name | ACCESS BEHAVIOR ANALYSIS
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 2823 KINNOW PL
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-4776
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Country | US
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Telephone | 626-201-5813
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Fax |
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Provider Business Mailing Address
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Address Line | 2823 KINNOW PL
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-4776
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Country | US
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Telephone | 626-201-5813
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | MR. ALBERTO MALDONADO
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Credential |
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Telephone | 626-201-5813
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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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