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General NPI Number Information
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NPI Number | 1457279499
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Entity Type | Organization
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Legal Business Name | BEHNOUSH KHAFAJIZADEH, LICENSED CLINICAL SOCIAL WORKER INC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 1342 ALESSANDRO DR
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-3531
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Country | US
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Telephone | 818-390-3585
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Fax |
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Provider Business Mailing Address
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Address Line | 8549 WILSHIRE BLVD # 2522
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3104
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Country | US
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Telephone | 818-390-3585
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Fax |
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Authorized Official
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Title or Position | THERAPIST/ PRESIDENT
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Name | MS. BEHNOUSH KHAFAJIZADEH
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Credential | LCSW
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Telephone | 818-390-3585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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