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General NPI Number Information
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NPI Number | 1740515527
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Entity Type | Organization
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Legal Business Name | CHILD SUCCESS CENTER
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Dates
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Enumeration Date | 10/12/2009
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2023 S WESTGATE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90025-6118
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Country | US
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Telephone | 310-899-9597
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Fax | 310-943-2258
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Provider Business Mailing Address
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Address Line | 2023 S WESTGATE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90025-6118
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Country | US
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Telephone | 310-899-9597
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Fax | 310-943-2258
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Authorized Official
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Title or Position | DIRECTOR
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Name | MELISSA IDELSON
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Credential | OTR/L
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Telephone | 310-899-9597
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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 |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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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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