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General NPI Number Information
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NPI Number | 1760088355
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Entity Type | Individual
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Provider Name | JUNG FENG CHIU BCBA
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Gender | Male
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 8616 LA TIJERA BLVD STE 408
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City | LOS ANGELES
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State | CA
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Zip | 90045-3950
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Country | US
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Telephone | 310-337-7827
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Fax |
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Provider Business Mailing Address
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Address Line | 2080 N TUSTIN AVE STE B
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City | SANTA ANA
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State | CA
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Zip | 92705-7875
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Country | US
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Telephone | 855-581-0100
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-71044
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License Number State | CA
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