| Create Behavior Change Consulting, Llc, Limited Liability Co. | |
|
110 Gateway Dr. Lincoln CA 95648 | |
| (916) 729-3098 | |
| Not Available |
| Full Name | Create Behavior Change Consulting, Llc, Limited Liability Co. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 110 Gateway Dr., Lincoln, California |
| Authorized Official Name and Position | Amber C Burga (BCBA/CO-OWNER) |
| Authorized Official Contact | 9166225537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create Behavior Change Consulting, Llc, Limited Liability Co. 9128 Hourglass Cir Roseville CA 95747-8654 Ph: (916) 622-5537 | Create Behavior Change Consulting, Llc, Limited Liability Co. 110 Gateway Dr. Lincoln CA 95648 Ph: (916) 729-3098 |
| NPI Number | 1225779549 |
|---|---|
| Provider Enumeration Date | 04/02/2022 |
| Last Update Date | 04/02/2022 |
| Certification Date | 04/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225779549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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