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General NPI Number Information
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NPI Number | 1710459318
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Entity Type | Organization
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Legal Business Name | AUTISM BELIEVE ACCEPT THERAPY SERVICES
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 1601 N GOWER ST STE 207
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City | LOS ANGELES
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State | CA
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Zip | 90028-7598
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Country | US
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Telephone | 323-745-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 11115 AQUA VISTA ST APT 306
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-3722
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Country | US
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Telephone | 323-379-8400
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Fax |
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Authorized Official
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Title or Position | CEO/BCBA
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Name | GILBERT MENCHACA
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Credential |
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Telephone | 323-379-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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