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General NPI Number Information
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NPI Number | 1770120206
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Entity Type | Individual
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Provider Name | PARADISE LEUTA BCBA
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Gender | Female
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 2338 W ROYAL PALM RD STE J
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City | PHOENIX
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State | AZ
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Zip | 85021-9339
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Country | US
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Telephone | 855-772-8847
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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 | 949-709-0311
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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