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General NPI Number Information
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NPI Number | 1801406293
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Entity Type | Individual
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Provider Name | EDUARDO SALINAS ORDAZ M.S., BCBA
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Gender | Male
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 4150 LATHAM ST STE A
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City | RIVERSIDE
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State | CA
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Zip | 92501-1735
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Country | US
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Telephone | 951-363-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 1151 DOVE ST
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2840
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Country | US
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Telephone |
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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 | 1-23-70385
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License Number State | CA
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