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General NPI Number Information
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NPI Number | 1649132788
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Entity Type | Organization
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Legal Business Name | MUSTARD SEED ABA CORPORATION
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 8720 MEADOW BROOK AVE UNIT D
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City | GARDEN GROVE
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State | CA
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Zip | 92844-1243
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Country | US
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Telephone | 714-655-5138
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Fax | 714-655-5138
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Provider Business Mailing Address
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Address Line | 7927 GARDEN GROVE BLVD P.O. BOX 112
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City | GARDEN GROVE
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State | CA
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Zip | 92841
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Country | US
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Telephone | 714-655-5138
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DAI DOAN
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Credential | M.S., BCBA
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Telephone | 714-655-5138
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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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