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General NPI Number Information
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NPI Number | 1295272607
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Entity Type | Organization
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Legal Business Name | DYNAMIC INTERVENTIONS, INC.
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 28494 WESTINGHOUSE PL SUITE 208
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City | VALENCIA
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State | CA
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Zip | 91355-0930
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Country | US
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Telephone | 661-257-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 28494 WESTINGHOUSE PL SUITE 208
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City | VALENCIA
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State | CA
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Zip | 91355-0930
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Country | US
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Telephone | 661-257-1254
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. CHRISTOPHER CHARLES JONES
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Credential | CAGS, LEP
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Telephone | 661-257-1254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | LEP 3026
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW 72275
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT 44098
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | LEP 2819
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License Number State | CA
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