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General NPI Number Information
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NPI Number | 1326509118
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Entity Type | Organization
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Legal Business Name | TASKIDS LOS ANGELES, INC.
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 1000 S FREMONT AVE UNIT 63
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City | ALHAMBRA
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State | CA
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Zip | 91803-8824
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Country | US
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Telephone | 714-683-5876
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Fax | 888-420-6257
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Provider Business Mailing Address
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Address Line | 2201 E 4TH ST
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City | SANTA ANA
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State | CA
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Zip | 92705-3804
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Country | US
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Telephone | 714-683-5876
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Fax | 888-420-6257
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Authorized Official
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Title or Position | CFO
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Name | ROGER A IRIS
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Credential |
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Telephone | 818-415-5016
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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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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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