| Behavior Blueprint, Inc. | |
|
2582 15th Ave Kingsburg CA 93631-1109 | |
| (559) 334-4227 | |
| Not Available |
| Full Name | Behavior Blueprint, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2582 15th Ave, Kingsburg, California |
| Authorized Official Name and Position | Ryan Groft (PRESIDENT/CEO) |
| Authorized Official Contact | 5593344227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Blueprint, Inc. 2582 15th Ave Kingsburg CA 93631-1109 Ph: () - | Behavior Blueprint, Inc. 2582 15th Ave Kingsburg CA 93631-1109 Ph: (559) 334-4227 |
| NPI Number | 1578389458 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578389458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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