| Aba Weissenberg Elite Behavioral Services | |
|
4930 Campus Dr Newport Beach CA 92660-2119 | |
| (208) 995-3615 | |
| (833) 275-1309 |
| Full Name | Aba Weissenberg Elite Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4930 Campus Dr, Newport Beach, California |
| Authorized Official Name and Position | Laura Dickerson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2089953615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Weissenberg Elite Behavioral Services Po Box 1519 Meridian ID 83680-1519 Ph: (208) 995-3615 | Aba Weissenberg Elite Behavioral Services 4930 Campus Dr Newport Beach CA 92660-2119 Ph: (208) 995-3615 |
| NPI Number | 1265912919 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265912919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-10119 (California) | Secondary |
| 251S00000X | Community/behavioral Health | 1-14-10119 (California) | Primary |
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