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General NPI Number Information
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NPI Number | 1427926971
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Entity Type | Organization
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Legal Business Name | UNIQUE DIFFERENCES IN DEVELOPMENT UDID
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 8768 HELMS AVE STE A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4571
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Country | US
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Telephone | 909-827-0387
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 257
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City | FONTANA
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State | CA
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Zip | 92334-0257
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Country | US
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Telephone | 909-827-0387
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SOCIAL SKILLS DEVELOPME
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Name | SARDE STEWART
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Credential | M.S. BCBA
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Telephone | 909-997-8496
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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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