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General NPI Number Information
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NPI Number | 1376408559
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Entity Type | Organization
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Legal Business Name | CORE ABILITIES BEHAVIOR SERVICES, LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 5002 FOOTHILLS RD APT G
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City | LAKE OSWEGO
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State | OR
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Zip | 97034-3169
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Country | US
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Telephone | 209-217-2593
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Fax |
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Provider Business Mailing Address
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Address Line | 5002 FOOTHILLS RD APT G
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City | LAKE OSWEGO
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State | OR
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Zip | 97034-3169
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Country | US
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Telephone | 209-217-2593
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | BRANDON ANTHONY MONTOYA
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Credential | BCBA
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Telephone | 209-217-2593
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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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