| Alpha Beta Behavioral Psychological Services Inc. | |
|
2026 17th St Ste 101 Bakersfield CA 93301-4251 | |
| (559) 328-8434 | |
| Not Available |
| Full Name | Alpha Beta Behavioral Psychological Services Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2026 17th St Ste 101, Bakersfield, California |
| Authorized Official Name and Position | Annie Asher (BILLING COORDINATOR) |
| Authorized Official Contact | 7604172131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Beta Behavioral Psychological Services Inc. 8010 Vidius Way Bakersfield CA 93313-6429 Ph: (661) 348-4299 | Alpha Beta Behavioral Psychological Services Inc. 2026 17th St Ste 101 Bakersfield CA 93301-4251 Ph: (559) 328-8434 |
| NPI Number | 1952942187 |
|---|---|
| Provider Enumeration Date | 09/29/2019 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 7113356296 |
|---|---|
| Medicare Enrollment ID | O20200413000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952942187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dwight Jerome Norman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144504564 PECOS PAC ID: 8022447101 Enrollment ID: I20200413000789 |
| Provider Name | Danielle Quintero Orosco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740882125 PECOS PAC ID: 0941674766 Enrollment ID: I20230317002088 |
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