| Behavioral Support Partnership | |
|
12443 Lewis St Suite 201 Garden Grove CA 92840-4650 | |
| (714) 748-4440 | |
| Not Available |
| Full Name | Behavioral Support Partnership |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12443 Lewis St, Garden Grove, California |
| Authorized Official Name and Position | Crystal Michelle Gutierrez (CASE SUPERVISOR) |
| Authorized Official Contact | 8183041313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Support Partnership 522 Wycliffe Irvine CA 92602-1213 Ph: (818) 304-1313 | Behavioral Support Partnership 12443 Lewis St Suite 201 Garden Grove CA 92840-4650 Ph: (714) 748-4440 |
| NPI Number | 1033593397 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033593397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-18868 (California) | Primary |
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