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General NPI Number Information
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NPI Number | 1962311621
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Entity Type | Organization
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Legal Business Name | ASTLA
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 13015 PEMBERLEY PASSAGE AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93311-8734
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Country | US
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Telephone | 415-770-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 13015 PEMBERLEY PASSAGE AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93311-8734
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Country | US
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Telephone | 415-770-2900
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DARYL LAFOUNTAIN
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Credential | MBA
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Telephone | 415-770-2900
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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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