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General NPI Number Information
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NPI Number | 1932536984
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Entity Type | Organization
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Legal Business Name | SUNNY DAYS, LLC
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Dates
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Enumeration Date | 10/07/2013
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Last Update Date | 10/07/2013
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Provider Practice Location Address
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Address Line | 3602 INLAND EMPIRE BLVD STE B208
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City | ONTARIO
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State | CA
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Zip | 91764-4912
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Country | US
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Telephone | 909-476-6464
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Fax | 909-476-6868
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Provider Business Mailing Address
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Address Line | 3602 INLAND EMPIRE BLVD STE B208
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City | ONTARIO
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State | CA
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Zip | 91764-4912
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Country | US
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Telephone | 909-476-6464
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Fax | 909-476-6868
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Authorized Official
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Title or Position | ASSISTANT BEHAVIOR COORDINATOR/BCBA
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Name | MS. TIFFANY HANG
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Credential | M.A.
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Telephone | 909-476-6464
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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 | 1-13-12847
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License Number State | CA
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