Behavior Genius Llc | |
1500 S Haven Ave Ste 250 Ontario CA 91761-2973 | |
(909) 749-5204 | |
Not Available |
Full Name | Behavior Genius Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1500 S Haven Ave Ste 250, Ontario, California |
Authorized Official Name and Position | Portia James (EXECUTIVE DIRECTOR/OWNER) |
Authorized Official Contact | 9097495204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Behavior Genius Llc 1500 S Haven Ave Ste 250 Ontario CA 91761-2973 Ph: (909) 749-5204 | Behavior Genius Llc 1500 S Haven Ave Ste 250 Ontario CA 91761-2973 Ph: (909) 749-5204 |
NPI Number | 1720626138 |
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Provider Enumeration Date | 12/16/2019 |
Last Update Date | 04/06/2023 |
Certification Date | 04/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720626138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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