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NPI 1285288340

NPI 1285288340 : SEQUOIA BEHAVIORAL CONSULTANTS : STOCKTON, CA

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General NPI Number Information
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    NPI Number           |    1285288340
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    Entity Type          |    Organization 
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    Legal Business Name  |    SEQUOIA BEHAVIORAL CONSULTANTS 
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Dates
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    Enumeration Date     |    07/27/2019
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    Last Update Date     |    01/06/2026
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Provider Practice Location Address
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    Address Line         |    4719 QUAIL LAKES DR STE G409 
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    City                 |    STOCKTON
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    State                |    CA
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    Zip                  |    95207-8140
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    Country              |    US
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    Telephone            |    209-208-4804
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4719 QUAIL LAKES DR STE G409 
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    City                 |    STOCKTON
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    State                |    CA
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    Zip                  |    95207-8140
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    Country              |    US
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    Telephone            |    435-881-3654
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ALEX  MCCURDY 
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    Credential           |    BCBA
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    Telephone            |    435-881-3654
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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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