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General NPI Number Information
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NPI Number | 1275440810
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Entity Type | Organization
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Legal Business Name | BEYOND THE LABEL ADVOCACY AND SPEECH THERAPY PC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 3415 S SEPULVEDA BLVD STE 1100
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City | LOS ANGELES
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State | CA
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Zip | 90034-7090
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Country | US
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Telephone | 424-242-8562
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 S SEPULVEDA BLVD STE 1100
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City | LOS ANGELES
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State | CA
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Zip | 90034-7090
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Country | US
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Telephone | 424-242-8562
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JADA AUGUSTINE
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Credential | SLP
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Telephone | 562-376-1827
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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