| Excelencia Behavioral Therapy | |
|
29115 Valley Center Rd # K215 Valley Center CA 92082-6560 | |
| (760) 214-5522 | |
| Not Available |
| Full Name | Excelencia Behavioral Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 29115 Valley Center Rd # K215, Valley Center, California |
| Authorized Official Name and Position | Juana Abigahil Mendoza Mendoza (BCBA) |
| Authorized Official Contact | 7602145522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelencia Behavioral Therapy 29115 Valley Center Rd # K215 Valley Center CA 92082-6560 Ph: (760) 214-5522 | Excelencia Behavioral Therapy 29115 Valley Center Rd # K215 Valley Center CA 92082-6560 Ph: (760) 214-5522 |
| NPI Number | 1689370611 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 02/01/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689370611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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