NPI 1851962963 · live from the CMS NPI Registry
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Behavior Analyst in Poway, CA. National Provider Identifier 1851962963, active.
NPI record
| NPI | 1851962963 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 16619 Sagewood Ln, Poway, CA 92064 |
| Practice phone | 858-603-3341 |
| Enumerated | July 9, 2021 |
| Last updated | July 9, 2021 |
| Authorized official | Jacquelyn Behic, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.