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General NPI Number Information
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NPI Number | 1821343872
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Entity Type | Organization
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Legal Business Name | SECOND NATURE BEHAVIORAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 07/16/2012
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Provider Practice Location Address
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Address Line | 307 OAKWOOD CIR
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City | MARTINEZ
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State | CA
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Zip | 94553-3565
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Country | US
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Telephone | 925-349-8249
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Fax |
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Provider Business Mailing Address
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Address Line | 307 OAKWOOD CIR
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City | MARTINEZ
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State | CA
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Zip | 94553-3565
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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 | EXECUTIVE DIRECTOR
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Name | ERIN PETERSON
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Credential | MA
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Telephone | 925-349-8249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family 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 | 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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