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General NPI Number Information
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NPI Number | 1750813820
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Entity Type | Organization
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Legal Business Name | FIRSTSTEPS FOR KIDS - VENTURA COUNTY
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 2900 TOWNSGATE RD SUITE 200
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-3001
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Country | US
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Telephone | 805-413-0360
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 TOWNSGATE RD SUITE 200
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-3001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ELIZABETH MONDAY
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Credential | BCBA
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Telephone | 424-212-7923
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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 | 1-10-7685
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License Number State | CA
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