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General NPI Number Information
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NPI Number | 1356228282
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Entity Type | Organization
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Legal Business Name | THE SENSORY BRAIN
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2810 E DEL MAR BLVD STE 2
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City | PASADENA
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State | CA
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Zip | 91107-4322
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Country | US
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Telephone | 626-639-8624
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Fax |
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Provider Business Mailing Address
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Address Line | 341 MOUNT WASHINGTON DR
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City | LOS ANGELES
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State | CA
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Zip | 90065-3148
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Country | US
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Telephone | 562-310-1840
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Fax |
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Authorized Official
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Title or Position | CEO, OWNER
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Name | MRS. JUSTINE ANN DAVID
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Credential | OTR/L
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Telephone | 562-310-1840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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