=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891668828
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SENSORY SENSATIONS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2025
-----------------------------------------------------
Last Update Date | 09/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 696 LA DAWNA ST
-----------------------------------------------------
City | TULARE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93274-2535
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-759-8302
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 696 LA DAWNA ST
-----------------------------------------------------
City | TULARE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93274-2535
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-759-8302
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BEHAVIOR ANALYST
-----------------------------------------------------
Name | LECHE JUNE BRADSHAW
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 559-759-8302
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------