| Behavioral Autism Therapies, Llc | |
|
20926 Black Stallion Dr Covina CA 91724-3849 | |
| (626) 893-5046 | |
| (626) 502-1178 |
| Full Name | Behavioral Autism Therapies, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20926 Black Stallion Dr, Covina, California |
| Authorized Official Name and Position | Larry Humphreys (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6268935046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Autism Therapies, Llc 20926 Black Stallion Dr Covina CA 91724-3849 Ph: (626) 893-5046 | Behavioral Autism Therapies, Llc 20926 Black Stallion Dr Covina CA 91724-3849 Ph: (626) 893-5046 |
| NPI Number | 1780958025 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780958025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-11-8431 (California) | Primary |
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