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1151 Dove St Ste 202 Newport Beach CA 92660-2853 | |
| (949) 630-8290 | |
| (949) 396-1242 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1151 Dove St Ste 202, Newport Beach, California |
| Authorized Official Name and Position | Patrick Moynihan (PRESIDENT) |
| Authorized Official Contact | 9396297030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1151 Dove St Ste 150 Newport Beach CA 92660-2837 Ph: (949) 630-8290 | 1151 Dove St Ste 202 Newport Beach CA 92660-2853 Ph: (949) 630-8290 |
| NPI Number | 1033474697 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 11/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033474697 | NPI | - | NPPES |
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