| Bcba Services | |
|
1301 Hollencrest Dr West Covina CA 91791-3712 | |
| (949) 923-5323 | |
| Not Available |
| Full Name | Bcba Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1301 Hollencrest Dr, West Covina, California |
| Authorized Official Name and Position | Katie Eileen Cook (OWNER/DIRECTOR) |
| Authorized Official Contact | 9499235323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcba Services 1301 Hollencrest Dr West Covina CA 91791-3712 Ph: (949) 923-5323 | Bcba Services 1301 Hollencrest Dr West Covina CA 91791-3712 Ph: (949) 923-5323 |
| NPI Number | 1518395664 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518395664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-12-10219 (California) | Primary |
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