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Organization
TEMECULA APPLIED BEHAVIOR ANALYSIS, LLC
Active
Organization
TEMECULA APPLIED BEHAVIOR ANALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA DOLAN (CREDENTIALING SUPERVISOR)
(951) 259-4060
Entity
Organization
Contact information
Practice address
30650 RANCHO CALIFORNIA RD STE D406-139, TEMECULA, CA 92591-3215
(619) 787-3882
(619) 782-0710
Mailing address
30650 RANCHO CALIFORNIA RD STE D406-139, TEMECULA, CA 92591-3215
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
06/16/2026
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