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Network ABA Provider Participation Packet TRI CARE West Region Fax to: Health Net Federal Services, Colfax number: 18448365818Applied Behavior Analysis (ABA) Providers Board Certified Behavior Analysts
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The wwwtricare-westcomcontentdamprovider information form fax is a document used to report provider information to TRICARE West.
All TRICARE West providers are required to file the information form fax.
The fax form requires providers to input their contact information, billing details, and other relevant information as requested.
The purpose of the form is to ensure accurate and up-to-date information on TRICARE West providers.
Providers must report their contact details, billing information, specialty areas, and any other relevant details as requested on the form.
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