| Capsheaf Behavioral Institute, Llc | |
|
9126 Quincy Ave Hesperia CA 92345-6438 | |
| (888) 557-1305 | |
| (888) 557-1305 |
| Full Name | Capsheaf Behavioral Institute, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9126 Quincy Ave, Hesperia, California |
| Authorized Official Name and Position | Amesha Corine Smith (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 8885571305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capsheaf Behavioral Institute, Llc 9126 Quincy Ave Hesperia CA 92345-6438 Ph: (888) 557-1305 | Capsheaf Behavioral Institute, Llc 9126 Quincy Ave Hesperia CA 92345-6438 Ph: (888) 557-1305 |
| NPI Number | 1760848022 |
|---|---|
| Provider Enumeration Date | 01/01/2016 |
| Last Update Date | 01/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760848022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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