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General NPI Number Information
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NPI Number | 1881000453
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Entity Type | Individual
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Provider Name | JOSEPH PRINDLE PH.D., BCBA
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Gender | Male
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 3244 CAMINITO EASTBLUFF UNIT 44
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City | LA JOLLA
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State | CA
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Zip | 92037-2886
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Country | US
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Telephone | 520-280-9151
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Fax | 858-433-5947
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Provider Business Mailing Address
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Address Line | 3244 CAMINITO EASTBLUFF UNIT 44
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City | LA JOLLA
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State | CA
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Zip | 92037-2886
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Country | US
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Telephone | 520-280-9151
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Fax | 858-433-5947
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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 | 1-14-16201
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License Number State | CA
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