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General NPI Number Information
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NPI Number | 1679812903
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Entity Type | Organization
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Legal Business Name | APPLIED FAMILY SOLUTIONS LLC
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 120 ASCOT DR STE D
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City | ROSEVILLE
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State | CA
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Zip | 95661-3400
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Country | US
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Telephone | 916-787-1100
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Fax | 916-787-1102
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Provider Business Mailing Address
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Address Line | 120 ASCOT DR STE D
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City | ROSEVILLE
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State | CA
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Zip | 95661-3400
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Country | US
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Telephone | 916-787-1100
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Fax | 916-787-1102
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Authorized Official
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Title or Position | CEO
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Name | MS. MARIA GABRIELLA GIANNINI
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Credential | BCBA
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Telephone | 916-223-8287
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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 | 1118415
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License Number State | CA
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