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General NPI Number Information
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NPI Number | 1417618901
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Entity Type | Organization
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Legal Business Name | BRIGHT BEGINNINGS LEARNING CENTER
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 4116 HUNTERS DR
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City | LOOMIS
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State | CA
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Zip | 95650-9252
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Country | US
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Telephone | 916-827-4594
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Fax |
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Provider Business Mailing Address
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Address Line | 4116 HUNTERS DR
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City | LOOMIS
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State | CA
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Zip | 95650-9252
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Country | US
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Telephone | 510-590-8374
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY BELLOMO
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Credential | MS, BCBA
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Telephone | 510-590-8374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant 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 | 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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