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General NPI Number Information
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NPI Number | 1902423577
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Entity Type | Organization
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Legal Business Name | EUNOIA - BEHAVIORAL CONSULTANT SERVICES
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 2121 DOXEY DR
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City | SAN JOSE
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State | CA
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Zip | 95131-2665
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Country | US
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Telephone | 951-208-5410
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 CABANA LN
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City | TRACY
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State | CA
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Zip | 95377-1113
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Country | US
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Telephone | 951-208-5410
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SURMEET SANDHU
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Credential | BCBA
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Telephone | 951-208-5410
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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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