| Behavior Support Services Llc | |
|
1405 Manchester Way Tustin CA 92782-1785 | |
| (714) 856-2696 | |
| Not Available |
| Full Name | Behavior Support Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1405 Manchester Way, Tustin, California |
| Authorized Official Name and Position | H. Michael Carpenter (CO-FOUNDER/DIRECTOR) |
| Authorized Official Contact | 7148562696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Support Services Llc 1405 Manchester Way Tustin CA 92782-1785 Ph: (714) 856-2696 | Behavior Support Services Llc 1405 Manchester Way Tustin CA 92782-1785 Ph: (714) 856-2696 |
| NPI Number | 1881969145 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881969145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-05-2160 BCBA (California) | Primary |
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