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General NPI Number Information
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NPI Number | 1669006987
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Entity Type | Individual
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Provider Name | CASSIDY EMI ADAMS MORENO M.A., BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 277 SOUTH ST STE V
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-5039
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Country | US
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Telephone | 805-242-1617
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 SANTA BARBARA AVE APT 306
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4471
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Country | US
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Telephone | 626-233-9514
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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 | 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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