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General NPI Number Information
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NPI Number | 1659995918
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE BEHAVIOR SERVICES
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 10133 N 92ND ST STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4556
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Country | US
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Telephone | 602-663-9502
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 SAN FELIPE ST STE 990
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City | HOUSTON
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State | TX
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Zip | 77063-1708
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Country | US
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Telephone | 281-826-3382
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Fax | 425-491-7683
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Authorized Official
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Title or Position | CEO
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Name | MR. FERNANDO W MARTINEZ JR.
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Credential | BCBA
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Telephone | 562-965-0745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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