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General NPI Number Information
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NPI Number | 1922719640
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Entity Type | Organization
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Legal Business Name | EMMY ABA SERVICES
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 324 MISSION DR
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City | CAMARILLO
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State | CA
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Zip | 93010-2026
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Country | US
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Telephone | 805-814-0692
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD # 985262
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 805-814-0692
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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 | ALEJANDRA PEREZ RODRIGUEZ-BARBA
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Credential | BCBA CERT
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Telephone | 805-814-0692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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