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General NPI Number Information
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NPI Number | 1376457986
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Entity Type | Individual
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Provider Name | PESIA DAVIDOWITZ LBA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 6310 SAN VICENTE BLVD STE 300
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City | LOS ANGELES
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State | CA
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Zip | 90048-5447
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Country | US
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Telephone | 323-693-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 12746 MCCORMICK ST
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-2322
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Country | US
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Telephone | 747-877-1826
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Fax |
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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 | 15BC00424800
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License Number State | NJ
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