| Envision Pediatric Therapy | |
|
26033 Getty Dr Unit 421 Laguna Niguel CA 92677-0977 | |
| (734) 883-4950 | |
| Not Available |
| Full Name | Envision Pediatric Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 26033 Getty Dr Unit 421, Laguna Niguel, California |
| Authorized Official Name and Position | Jena Lee Jenkins (OWNER) |
| Authorized Official Contact | 7348834950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Pediatric Therapy 26033 Getty Dr Unit 421 Laguna Niguel CA 92677-0977 Ph: (734) 883-4950 | Envision Pediatric Therapy 26033 Getty Dr Unit 421 Laguna Niguel CA 92677-0977 Ph: (734) 883-4950 |
| NPI Number | 1790464204 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790464204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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