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General NPI Number Information
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NPI Number | 1659739258
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Entity Type | Organization
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Legal Business Name | LAURIE SINGER BEHAVIORAL SERVICES INC.
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 155 GRANADA ST SUITE T
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City | CAMARILLO
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State | CA
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Zip | 93010-7866
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Country | US
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Telephone | 805-208-8150
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Fax |
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Provider Business Mailing Address
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Address Line | 155 GRANADA ST SUITE T
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City | CAMARILLO
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State | CA
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Zip | 93010-7866
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Country | US
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Telephone | 805-208-8150
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | LAURIE SINGER
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Credential | LMFT, BCBA
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Telephone | 805-208-8150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 40567
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 40567
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License Number State | CA
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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 | 1-15-21213
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License Number State | CA
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