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General NPI Number Information
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NPI Number | 1689536427
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Entity Type | Individual
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Provider Name | VASHTI IMAN BRELAND
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 8832 SYRACUSE AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-6229
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Country | US
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Telephone | 323-916-4602
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Fax |
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Provider Business Mailing Address
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Address Line | 27160 VISTA RD APT 14
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City | HELENDALE
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State | CA
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Zip | 92342-9764
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Country | US
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Telephone | 206-707-2163
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | CA
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