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General NPI Number Information
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NPI Number | 1306522081
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Entity Type | Organization
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Legal Business Name | JALDEA BEHAVIORAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 257 SLOCUM RD
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City | DARTMOUTH
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State | MA
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Zip | 02747-3602
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Country | US
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Telephone | 646-576-0681
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Fax |
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Provider Business Mailing Address
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Address Line | 257 SLOCUM RD
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City | DARTMOUTH
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State | MA
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Zip | 02747-3602
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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 | OWNER/LABA
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Name | JESSICA PAREDES
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Credential | M.S., LABA
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Telephone | 646-576-0681
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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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