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General NPI Number Information
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NPI Number | 1952942187
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Entity Type | Organization
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Legal Business Name | ALPHA BETA BEHAVIORAL PSYCHOLOGICAL SERVICES INC.
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Dates
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Enumeration Date | 09/29/2019
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 2026 17TH ST STE 101
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4251
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Country | US
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Telephone | 559-328-8434
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Fax |
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Provider Business Mailing Address
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Address Line | 8010 VIDIUS WAY
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City | BAKERSFIELD
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State | CA
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Zip | 93313-6429
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Country | US
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Telephone | 661-348-4299
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Fax | 661-215-1872
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | ANNIE ASHER
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Credential |
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Telephone | 760-417-2131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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