| Addison Behavioral Resources | |
|
266 Mobil Ave Suite 209 Camarillo CA 93010-6328 | |
| (805) 383-5566 | |
| (888) 659-0031 |
| Full Name | Addison Behavioral Resources |
|---|---|
| Speciality | Behavior Analyst |
| Location | 266 Mobil Ave, Camarillo, California |
| Authorized Official Name and Position | Laura R. Addison (CEO) |
| Authorized Official Contact | 8053835566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addison Behavioral Resources 266 Mobil Ave Suite 209 Camarillo CA 93010-6328 Ph: (805) 383-5566 | Addison Behavioral Resources 266 Mobil Ave Suite 209 Camarillo CA 93010-6328 Ph: (805) 383-5566 |
| NPI Number | 1780918102 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 10/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780918102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-05-2114 (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | PSY 22059 (California) | Secondary |
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