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General NPI Number Information
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NPI Number | 1952669095
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Entity Type | Individual
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Provider Name | STEPHEN JOHNSON PHD, BCBA
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Gender | Male
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2431 EADS ST
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City | LOS ANGELES
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State | CA
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Zip | 90031-1018
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Country | US
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Telephone | 424-599-4947
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Fax | 424-550-1099
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Provider Business Mailing Address
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Address Line | 5110 HUCK FINN LN
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City | CULVER CITY
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State | CA
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Zip | 90230-4313
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Country | US
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Telephone | 310-488-7645
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1-07-3829
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License Number State | CA
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