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General NPI Number Information
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NPI Number | 1386171007
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Entity Type | Organization
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Legal Business Name | THE ATEAM, LLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 3575 LEHIGH DR APT 13
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City | SANTA CLARA
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State | CA
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Zip | 95051-6073
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Country | US
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Telephone | 408-916-7344
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Fax |
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Provider Business Mailing Address
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Address Line | 3575 LEHIGH DR APARTMENT 13
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City | SANTA CLARA
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State | CA
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Zip | 95051-6072
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER & BEHAVIOR ANALYST
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Name | JAMES DE QUINTO
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Credential | MS, BCBA
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Telephone | 408-916-7344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY27356
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1107474
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 1107474
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1107474
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License Number State | CA
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