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General NPI Number Information
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NPI Number | 1760394761
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Entity Type | Organization
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Legal Business Name | SUNFLOWER DEVELOPMENTAL SERVICES LLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 10505 HALBRENT AVE
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City | MISSION HILLS
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State | CA
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Zip | 91345-2019
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Country | US
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Telephone | 347-409-0586
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Fax |
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Provider Business Mailing Address
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Address Line | 10505 HALBRENT AVE
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City | MISSION HILLS
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State | CA
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Zip | 91345-2019
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Country | US
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Telephone | 347-409-0586
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Fax |
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | NICOLETTA SKLAVOUNAKIS
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Credential | LMSW, LBA, BCBA, IBA
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Telephone | 917-334-2903
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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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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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 #5
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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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