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General NPI Number Information
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NPI Number | 1972422954
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Entity Type | Organization
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Legal Business Name | BEHAVIOR FRONTIERS
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 2209 PLAZA DR STE 100
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City | ROCKLIN
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State | CA
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Zip | 95765-4419
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Country | US
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Telephone | 916-304-9661
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Fax | 855-568-2494
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Provider Business Mailing Address
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Address Line | 5623 RIDGEPOINT DR
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City | ANTELOPE
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State | CA
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Zip | 95843-3738
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Country | US
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Telephone | 916-261-9322
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Fax |
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Authorized Official
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Title or Position | BEHAVIORAL TECH
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Name | PAIGE E SHADINGER
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Credential |
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Telephone | 916-261-9322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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