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General NPI Number Information
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NPI Number | 1770025462
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Entity Type | Individual
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Provider Name | KIMBERLY MORALES BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/11/2016
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 401 19TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4907
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Country | US
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Telephone | 661-496-0953
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Fax |
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Provider Business Mailing Address
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Address Line | 1253 W 116TH AVE # 11-107
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City | WESTMINSTER
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State | CO
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Zip | 80234-3298
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Country | US
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Telephone | 661-496-0953
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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 | 1-16-21717
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License Number State | CA
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