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General NPI Number Information
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NPI Number | 1760073118
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Entity Type | Organization
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Legal Business Name | ILEARN BEHAVIORAL STRATEGIES, INC.
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 10261 TRADEMARK ST STE C
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5805
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Country | US
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Telephone | 909-317-8499
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Fax |
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Provider Business Mailing Address
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Address Line | 6949 DEW POINT WAY
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City | FONTANA
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State | CA
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Zip | 92336-1865
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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 | EXECUTIVE DIRECTOR
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Name | MARGARITA ANDRADA
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Credential |
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Telephone | 909-317-8499
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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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