NPI 1265912919 · live from the CMS NPI Registry
Aba Weissenberg Elite Behavioral Services
Community/Behavioral Health in Newport Beach, CA. National Provider Identifier 1265912919, active.
NPI record
| NPI | 1265912919 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 4930 Campus Dr, Newport Beach, CA 92660 |
| Practice phone | 208-995-3615 |
| Mailing address | Po Box 1519, Meridian, ID 83680 |
| Enumerated | August 21, 2018 |
| Last updated | July 29, 2024 |
| Authorized official | Laura Dickerson, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-10119 (CA) |
| Community/Behavioral Health primary | 251S00000X | 1-14-10119 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.