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General NPI Number Information
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NPI Number | 1457150088
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Entity Type | Organization
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Legal Business Name | GOOD HABITS CHILDREN'S SERVICE INC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 9007 ARROW RTE STE 141
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4400
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Country | US
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Telephone | 626-413-4441
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Fax |
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Provider Business Mailing Address
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Address Line | 222 N MOUNTAIN AVE STE 213A
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City | UPLAND
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State | CA
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Zip | 91786-5714
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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 | ADMINISTRATOR
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Name | MS. RONGRONG XIANG
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Credential |
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Telephone | 626-899-3729
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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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