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General NPI Number Information
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NPI Number | 1962126581
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Entity Type | Organization
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Legal Business Name | UNIQUELY ENOUGH BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 15896 FOUNTAIN LN
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City | CHINO
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State | CA
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Zip | 91708-9315
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Country | US
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Telephone | 310-991-1372
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Fax |
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Provider Business Mailing Address
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Address Line | 15896 FOUNTAIN LN
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City | CHINO
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State | CA
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Zip | 91708-9315
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Country | US
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Telephone | 310-991-1372
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | STEPHANIE DENISE RICHARDSON
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Credential | BCBA
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Telephone | 310-991-1372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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