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General NPI Number Information
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NPI Number | 1720787104
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Entity Type | Organization
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Legal Business Name | AVANZA BEHAVIORAL SOLUTIONS LLC
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 7721 GALLUP DR
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7535
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Country | US
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Telephone | 310-259-1553
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Fax |
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Provider Business Mailing Address
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Address Line | 6077 COFFEE RD STE 4 PMD 1007
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City | BAKERSFIELD
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State | CA
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Zip | 93308-9417
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Country | US
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Telephone | 661-241-9087
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Fax | 661-215-0916
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CRISTINA FRANCO
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Credential | BCBA
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Telephone | 310-259-1553
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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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