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General NPI Number Information
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NPI Number | 1669346409
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Entity Type | Organization
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Legal Business Name | SPARROW ABA
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 498 N. 11TH ST
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City | SAN JOSE
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State | CA
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Zip | 95112
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Country | US
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Telephone | 408-368-4303
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Fax | 408-413-1033
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Provider Business Mailing Address
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Address Line | 498 N 11TH ST
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City | SAN JOSE
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State | CA
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Zip | 95112-3332
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Country | US
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Telephone | 408-368-4303
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, BCBA
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Name | SENDY STEPHANIE ARTOLA
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Credential | BCBA
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Telephone | 408-368-4303
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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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