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General NPI Number Information
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NPI Number | 1316500721
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Entity Type | Organization
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Legal Business Name | A BETTER WAY TO LEARN
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Dates
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Enumeration Date | 04/22/2019
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 28422 MODJESKA CANYON RD
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City | SILVERADO
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State | CA
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Zip | 92676-9746
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Country | US
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Telephone | 415-328-2534
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Fax |
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Provider Business Mailing Address
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Address Line | 28422 MODJESKA CANYON RD
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City | SILVERADO
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State | CA
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Zip | 92676-9746
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Country | US
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Telephone | 415-328-2534
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Fax |
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Authorized Official
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Title or Position | DIRECTIOR
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Name | CHANELLE LYNN OLIVO READ
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Credential | BCBA
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Telephone | 415-328-2534
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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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