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General NPI Number Information
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NPI Number | 1699647883
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Entity Type | Organization
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Legal Business Name | RESOLUTION BEHAVIOR ANALYSIS LLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2203 SANDCASTLE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95833-2399
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Country | US
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Telephone | 916-812-5438
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 VENTURE OAKS WAY STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95833-4226
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Country | US
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Telephone | 916-812-5438
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JACOB W LILLEY
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Credential | M.A., BCBA
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Telephone | 916-812-5438
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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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