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General NPI Number Information
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NPI Number | 1811089014
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH SERVICES EN ESPANOL LLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 10565 FAIRFAX BLVD STE 300
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City | FAIRFAX
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State | VA
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Zip | 22030-3104
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Country | US
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Telephone | 703-218-6599
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Fax | 703-890-7167
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Provider Business Mailing Address
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Address Line | PO BOX 3351
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City | FAIRFAX
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State | VA
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Zip | 22038-3351
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Country | US
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Telephone | 703-218-6599
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Fax | 703-218-2012
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MR. IGNACIO BASAURI
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Credential |
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Telephone | 703-218-6599
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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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Taxonomy #3
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Taxonomy Code | 224ZE0001X
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Taxonomy Name | Environmental Modification Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 224ZF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235500000X
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Taxonomy Name | Speech/Language/Hearing Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2355A2700X
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Taxonomy Name | Audiology Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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