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General NPI Number Information
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NPI Number | 1942182555
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Entity Type | Organization
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Legal Business Name | VIBE AND THRIVE VIRTUAL CARE, P.C.
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 2608 PRENTISS PL
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City | OAKLAND
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State | CA
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Zip | 94601-2617
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Country | US
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Telephone | 925-238-3180
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Fax |
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Provider Business Mailing Address
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Address Line | 2608 PRENTISS PL
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City | OAKLAND
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State | CA
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Zip | 94601-2617
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Country | US
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Telephone | 925-238-3180
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARSHELL TRAYCINA THOMAS
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Credential | MA, BCBA 1-23-64050
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Telephone | 925-238-3180
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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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