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General NPI Number Information
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NPI Number | 1447749478
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Entity Type | Organization
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Legal Business Name | HOPE BEHAVIOR SERVICES
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 05/04/2018
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Provider Practice Location Address
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Address Line | 3222 E RACE AVE
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City | VISALIA
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State | CA
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Zip | 93292-6860
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Country | US
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Telephone | 209-768-0733
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Fax |
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Provider Business Mailing Address
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Address Line | 3222 E RACE AVE
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City | VISALIA
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State | CA
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Zip | 93292-6860
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Country | US
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Telephone | 209-768-0733
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. MICHAL RUTH LEWIS
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Credential | M.ED, BCBA
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Telephone | 209-768-1033
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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 | 11624909
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License Number State | CA
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