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NPI 1275424921

NPI 1275424921 : APPLIED ABC OF CALIFORNIA INC : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1275424921
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    Entity Type          |    Organization 
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    Legal Business Name  |    APPLIED ABC OF CALIFORNIA INC 
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Dates
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    Enumeration Date     |    07/11/2025
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    Last Update Date     |    11/06/2025
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Provider Practice Location Address
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    Address Line         |    633 W 5TH ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90071-2005
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    Country              |    US
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    Telephone            |    866-352-5010
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4601 SHERIDAN ST STE 501 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-3435
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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    |    OFFICER
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    Name                 |     YAKOV  HALBERSTAM 
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    Credential           |    
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    Telephone            |    866-352-5010
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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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