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General NPI Number Information
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NPI Number | 1326522343
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Entity Type | Individual
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Provider Name | MRS. KRISTA LEANNE DE LA ROSA
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Gender | Female
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 4740 GREEN RIVER RD STE 315
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City | CORONA
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State | CA
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Zip | 92878-9437
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Country | US
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Telephone | 888-515-1793
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Fax | 323-866-1881
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Provider Business Mailing Address
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Address Line | 4221 WILSHIRE BLVD STE 300A
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City | LOS ANGELES
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State | CA
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Zip | 90010-3537
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Country | US
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Telephone | 888-428-3223
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Fax | 323-866-1881
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1-21-53721
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License Number State | CA
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