| Behavioral Therapeutic Services Llc | |
|
11086 Kadota Ave Pomona CA 91766-3945 | |
| (909) 837-7727 | |
| Not Available |
| Full Name | Behavioral Therapeutic Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11086 Kadota Ave, Pomona, California |
| Authorized Official Name and Position | Mario Alberto Leon (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9098377727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Therapeutic Services Llc 11086 Kadota Ave Pomona CA 91766-3945 Ph: (909) 837-7727 | Behavioral Therapeutic Services Llc 11086 Kadota Ave Pomona CA 91766-3945 Ph: (909) 837-7727 |
| NPI Number | 1407698558 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407698558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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