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General NPI Number Information
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NPI Number | 1982564423
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Entity Type | Individual
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Provider Name | JAYLYN A STAMPLE RBT
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Gender | Female
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 9600 CENTER AVE STE 160
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5838
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Country | US
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Telephone | 800-434-8923
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Fax | 858-649-6012
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Provider Business Mailing Address
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Address Line | 15622 RIO BLANCO TRL
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City | MORENO VALLEY
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State | CA
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Zip | 92555-4964
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Country | US
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Telephone | 209-969-4035
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | RBT-25-490905
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License Number State | CA
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