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General NPI Number Information
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NPI Number | 1679086417
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Entity Type | Organization
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Legal Business Name | B & D ASSESSMENT AND CONSULTING SERVICES, INC.
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 11/15/2017
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Provider Practice Location Address
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Address Line | 26565 WEST AGOURA RD STE 200
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City | CALABASAS
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State | CA
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Zip | 91302-1990
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Country | US
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Telephone | 818-483-6630
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Fax |
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Provider Business Mailing Address
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Address Line | 26565 WEST AGOURA ROAD, SUITE 200
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City | CALABASAS
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State | CA
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Zip | 91302
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Country | US
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Telephone | 310-341-9729
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | KRISTINA GRUBBS
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Credential | BCBA
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Telephone | 818-483-6630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PSY27372
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | PSY27372
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY27372
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-13-13840
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY27372
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY27372
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License Number State | CA
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