| Bluebird Behavior Support Llc | |
|
299 Hillcrest Dr Arroyo Grande CA 93420-2251 | |
| (805) 474-4858 | |
| (805) 994-0130 |
| Full Name | Bluebird Behavior Support Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 299 Hillcrest Dr, Arroyo Grande, California |
| Authorized Official Name and Position | Juri Dowell (OWNER/BEHAVIOR CONSULTANT) |
| Authorized Official Contact | 8054744858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Behavior Support Llc 299 Hillcrest Dr Arroyo Grande CA 93420-2251 Ph: (805) 474-4858 | Bluebird Behavior Support Llc 299 Hillcrest Dr Arroyo Grande CA 93420-2251 Ph: (805) 474-4858 |
| NPI Number | 1902424823 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 07/07/2020 |
| Certification Date | 07/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902424823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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