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General NPI Number Information
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NPI Number | 1790483576
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Entity Type | Organization
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Legal Business Name | BEYOND THRIVE THERAPY ABA
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 1050 LAKES DR STE 225
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City | WEST COVINA
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State | CA
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Zip | 91790-2910
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Country | US
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Telephone | 626-824-2597
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Fax |
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Provider Business Mailing Address
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Address Line | 15234 HOMEWARD ST
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City | LA PUENTE
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State | CA
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Zip | 91744-2733
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Country | US
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Telephone | 626-824-2597
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CLAUDIA ARACELI GARCIA
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Credential |
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Telephone | 626-824-2597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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