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General NPI Number Information
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NPI Number | 1790223675
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Entity Type | Organization
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Legal Business Name | EARLY DAYS AUTISM CENTER
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 9470 MICRON AVE
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City | SACRAMENTO
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State | CA
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Zip | 95827-2612
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Country | US
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Telephone | 916-947-6255
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 MICRON AVE STE 132
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City | SACRAMENTO
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State | CA
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Zip | 95827-2619
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Country | US
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Telephone | 916-947-6255
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. CYNTHIA ZIERHUT
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Credential | PH.D.
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Telephone | 916-947-6255
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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 | 11416148
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11211648
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11152078
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 92506
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License Number State | CA
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY19810
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License Number State | CA
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