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NPI 1942060744

NPI 1942060744 : CENTER FOR SKILLS DEVELOPMENT LLC : BREA, CA

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General NPI Number Information
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    NPI Number           |    1942060744
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTER FOR SKILLS DEVELOPMENT LLC 
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Dates
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    Enumeration Date     |    03/20/2024
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    Last Update Date     |    10/14/2025
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Provider Practice Location Address
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    Address Line         |    185 S STATE COLLEGE BLVD STE 100 
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    City                 |    BREA
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    State                |    CA
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    Zip                  |    92821-5829
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    Country              |    US
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    Telephone            |    840-278-3569
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    Fax                  |    714-463-8186
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Provider Business Mailing Address
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    Address Line         |    7684 KUVERA BEND ST 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92507-1474
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    Country              |    US
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    Telephone            |    840-278-3569
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    Fax                  |    714-463-8186
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Authorized Official
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    Title or Position    |    CEO/MANAGER
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    Name                 |     JESSICA  GALICIA DURAN 
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    Credential           |    BCBA
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    Telephone            |    840-278-3569
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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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