| Behavior Intervention Group Llc | |
|
673 Regas Dr Campbell CA 95008-4917 | |
| (408) 761-9766 | |
| Not Available |
| Full Name | Behavior Intervention Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 673 Regas Dr, Campbell, California |
| Authorized Official Name and Position | Christina Countie (CEO) |
| Authorized Official Contact | 4087619766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Intervention Group Llc 673 Regas Dr Campbell CA 95008-4917 Ph: (408) 761-9766 | Behavior Intervention Group Llc 673 Regas Dr Campbell CA 95008-4917 Ph: (408) 761-9766 |
| NPI Number | 1013793413 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013793413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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