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General NPI Number Information
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NPI Number | 1356274377
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Entity Type | Organization
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Legal Business Name | NUFOUNDATION YOUTH SERVICES LLC.
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 12740 W INDIAN SCHOOL RD
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-6528
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Country | US
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Telephone | 951-447-3744
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Fax |
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Provider Business Mailing Address
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Address Line | 12740 W INDIAN SCHOOL RD
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-6528
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Country | US
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Telephone | 951-447-3744
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | MR. KELVIN DONYELL FLEMING SR.
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Credential |
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Telephone | 951-447-3744
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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