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General NPI Number Information
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NPI Number | 1508250556
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Entity Type | Organization
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Legal Business Name | CENTER FOR BEHAVIORAL SCIENCES, INC.
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 17911 SKY PARK CIR STE E
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City | IRVINE
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State | CA
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Zip | 92614-4303
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Country | US
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Telephone | 949-246-4289
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Fax |
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Provider Business Mailing Address
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Address Line | 2973 HARBOR BLVD # 136
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City | COSTA MESA
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State | CA
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Zip | 92626-3912
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Country | US
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Telephone | 949-246-4289
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Fax |
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Authorized Official
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Title or Position | CENTER MANAGER
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Name | BRANDON YIM
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Credential |
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Telephone | 949-246-4289
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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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