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General NPI Number Information
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NPI Number | 1578060562
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Entity Type | Organization
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Legal Business Name | N.C. BEHAVIORAL SERVICES, LLC
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Dates
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Enumeration Date | 04/07/2018
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1700 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92544-4679
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Country | US
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Telephone | 951-357-6959
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Fax | 951-356-2115
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Provider Business Mailing Address
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Address Line | PO BOX 2686
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City | HEMET
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State | CA
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Zip | 92546-2686
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Country | US
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Telephone | 951-357-6959
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Fax | 951-356-2115
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. NACHOLE CALDWELL
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Credential | BCBA
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Telephone | 951-297-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-9724
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License Number State | CA
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