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General NPI Number Information
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NPI Number | 1730675331
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Entity Type | Individual
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Provider Name | CHRISTIN CIERRA RICKMAN
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Gender | Female
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 6 CENTERPOINTE DR STE 700
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City | LA PALMA
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State | CA
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Zip | 90623-2545
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Country | US
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Telephone | 909-292-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 12611 ARTESIA BLVD APT 132
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City | CERRITOS
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State | CA
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Zip | 90703-8681
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Country | US
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Telephone | 909-292-5870
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4531
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License Number State | CA
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