| Creative Minds Networking | |
|
6809 Indiana Ave Riverside CA 92506 | |
| (951) 500-3574 | |
| Not Available |
| Full Name | Creative Minds Networking |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6809 Indiana Ave, Riverside, California |
| Authorized Official Name and Position | Susana Herold (DIRECTOR) |
| Authorized Official Contact | 9515003574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Minds Networking 17460 Krameria Ave Riverside CA 92504-6129 Ph: (951) 205-1318 | Creative Minds Networking 6809 Indiana Ave Riverside CA 92506 Ph: (951) 500-3574 |
| NPI Number | 1265107569 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/10/2021 |
| Certification Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265107569 | NPI | - | NPPES |
| 1548452501 | Other | CA | CLINICAL SUPERVISOR/ASSESSOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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