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General NPI Number Information
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NPI Number | 1619569548
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Entity Type | Organization
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Legal Business Name | J & BEE, AN ABA SERVICE PROVIDER LLC
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 1161 SOUTH MELROSE DRIVE, SUITE A, #301
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City | VISTA
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State | CA
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Zip | 92081
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Country | US
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Telephone | 510-904-8049
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Fax | 855-265-2990
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Provider Business Mailing Address
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Address Line | 1161 SOUTH MELROSE DRIVE, SUITE A, #301
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City | VISTA
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State | CA
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Zip | 92081
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Country | US
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Telephone | 510-904-8049
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | JEANNE VAHIDEH DAMESHGHI
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Credential | BCBA
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Telephone | 510-904-8049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 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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