| Breaking Barriers Insititute Llc | |
|
9920 19th St Apt 59 Rancho Cucamonga CA 91737-4268 | |
| (310) 388-7365 | |
| (909) 912-8484 |
| Full Name | Breaking Barriers Insititute Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9920 19th St Apt 59, Rancho Cucamonga, California |
| Authorized Official Name and Position | Benjamin Smith (CEO) |
| Authorized Official Contact | 3103887365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Barriers Insititute Llc 9920 19th St Apt 59 Rancho Cucamonga CA 91737-4268 Ph: (310) 388-7365 | Breaking Barriers Insititute Llc 9920 19th St Apt 59 Rancho Cucamonga CA 91737-4268 Ph: (310) 388-7365 |
| NPI Number | 1578173050 |
|---|---|
| Provider Enumeration Date | 08/09/2020 |
| Last Update Date | 08/09/2020 |
| Certification Date | 08/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578173050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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