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General NPI Number Information
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NPI Number | 1952672297
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH WORKS LLC
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 12459 LEWIS ST STE 201
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City | GARDEN GROVE
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State | CA
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Zip | 92840-6606
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Country | US
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Telephone | 800-249-1266
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Fax | 800-385-8191
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Provider Business Mailing Address
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Address Line | 2733 E 12TH ST STE C2
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City | BROOKLYN
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State | NY
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Zip | 11235-4672
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Country | US
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Telephone | 800-249-1266
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Fax | 800-385-8191
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALING
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Name | ALEESHA PERKINS
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Credential |
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Telephone | 657-439-6178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 7404
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP 9175
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-08-4069
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License Number State | CA
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