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General NPI Number Information
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NPI Number | 1619530938
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Entity Type | Organization
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Legal Business Name | ENCOMPASS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 04/22/2019
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 2292 FARADAY AVE
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City | CARLSBAD
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State | CA
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Zip | 92008-7238
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Country | US
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Telephone | 858-822-8277
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Fax | 800-907-7476
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Provider Business Mailing Address
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Address Line | 2292 FARADAY AVE
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City | CARLSBAD
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State | CA
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Zip | 92008-7238
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Country | US
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Telephone | 858-822-8277
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Fax | 800-907-7476
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Authorized Official
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Title or Position | OWNER / EXECUTIVE DIRECTOR
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Name | DR. LAURIE KRISTINE TARTER
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Credential | PSY.D, BCBA, LBA
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Telephone | 858-822-8277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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