| Behavior Management Foundation | |
|
584 E Bellevue Rd Atwater CA 95301-2300 | |
| (559) 747-2177 | |
| Not Available |
| Full Name | Behavior Management Foundation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 584 E Bellevue Rd, Atwater, California |
| Authorized Official Name and Position | Jonathan Paul Nowicki (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5596470004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Management Foundation 584 E Bellevue Rd Atwater CA 95301-2300 Ph: (559) 747-2177 | Behavior Management Foundation 584 E Bellevue Rd Atwater CA 95301-2300 Ph: (559) 747-2177 |
| NPI Number | 1861850653 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861850653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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