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General NPI Number Information
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NPI Number | 1316488349
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Entity Type | Organization
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Legal Business Name | AMBITIONS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 111 DEERWOOD RD STE 115
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City | SAN RAMON
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State | CA
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Zip | 94583-4445
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Country | US
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Telephone | 949-325-4402
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Fax |
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Provider Business Mailing Address
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Address Line | 2372 MORSE AVE # 534
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City | IRVINE
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State | CA
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Zip | 92614-6234
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Country | US
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Telephone | 408-373-6752
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BILLAL ASGHAR
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Credential |
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Telephone | 949-325-4402
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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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