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General NPI Number Information
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NPI Number | 1780041855
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Entity Type | Individual
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Provider Name | ALICE VICKIE ARABIAN BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 19197 GOLDEN VALLEY RD # 910
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City | SANTA CLARITA
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State | CA
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Zip | 91387-1428
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Country | US
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Telephone | 818-620-2143
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Fax |
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Provider Business Mailing Address
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Address Line | 25094 CYPRESS BLUFF DR
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City | SANTA CLARITA
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State | CA
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Zip | 91387-1458
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Country | US
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Telephone | 818-620-2143
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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 | 1-14-16553
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License Number State | CA
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