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General NPI Number Information
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NPI Number | 1497220040
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Entity Type | Individual
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Provider Name | YASMINA JABRI BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 1319 CALLE AVANZADO
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-6351
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Country | US
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Telephone | 949-272-6146
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Fax | 888-847-8864
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Provider Business Mailing Address
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Address Line | PO BOX 4100
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-4100
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Country | US
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Telephone | 304-955-6200
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Fax | 304-399-2526
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1-18-32692
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License Number State |
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