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General NPI Number Information
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NPI Number | 1629939558
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Entity Type | Individual
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Provider Name | AMBER T LITTLEJOHN RBT
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Gender | Female
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1177 BROADWAY STE 6-10
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City | CHULA VISTA
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State | CA
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Zip | 91911-2769
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Country | US
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Telephone | 800-434-8923
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Fax | 858-649-6012
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Provider Business Mailing Address
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Address Line | 1629 SANTA VENETIA ST APT 17325
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City | CHULA VISTA
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State | CA
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Zip | 91913-3685
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Country | US
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Telephone | 912-227-4337
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Fax |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-492651
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License Number State | CA
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