| Behavior One Autism Solutions, Llc | |
|
17842 Irvine Blvd Ste B112 Tustin CA 92780-3203 | |
| (657) 294-5113 | |
| (657) 294-5114 |
| Full Name | Behavior One Autism Solutions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17842 Irvine Blvd Ste B112, Tustin, California |
| Authorized Official Name and Position | Kenneth Burg (CEO) |
| Authorized Official Contact | 6572945113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior One Autism Solutions, Llc 17842 Irvine Blvd Ste B112 Tustin CA 92780-3203 Ph: (657) 294-5113 | Behavior One Autism Solutions, Llc 17842 Irvine Blvd Ste B112 Tustin CA 92780-3203 Ph: (657) 294-5113 |
| NPI Number | 1588143283 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588143283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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