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General NPI Number Information
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NPI Number | 1811542467
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Entity Type | Organization
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Legal Business Name | FLEX LEARNING, LLC
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Dates
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Enumeration Date | 08/09/2019
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 145 W BROADWAY
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City | LONG BEACH
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State | CA
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Zip | 90802-4413
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Country | US
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Telephone | 562-661-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 E 2ND ST APT 12
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City | LONG BEACH
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State | CA
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Zip | 90802-8409
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Country | US
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Telephone | 951-255-6438
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Fax |
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Authorized Official
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Title or Position | CLINICAL EXECUTIVE DIRECTOR
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Name | MR. MIGUEL ANTONIO FLORES
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Credential | BCBA
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Telephone | 562-661-8900
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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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