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General NPI Number Information
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NPI Number | 1922827112
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Entity Type | Organization
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Legal Business Name | QUEST BEHAVIOR THERAPY
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 3600 WILSHIRE BLVD STE 932
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City | LOS ANGELES
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State | CA
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Zip | 90010-2613
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Country | US
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Telephone | 818-793-3530
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Fax |
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Provider Business Mailing Address
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Address Line | 6914 HAZELTINE AVE APT 204
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City | VAN NUYS
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State | CA
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Zip | 91405-5306
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Country | US
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Telephone | 818-793-3530
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN PAUL VILORIA QUIOCHO
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Credential | BCBA
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Telephone | 818-793-3530
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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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