| Footprints Behavior Interventions | |
|
11037 Warner Ave # 339 Fountain Valley CA 92708-4007 | |
| (800) 273-4292 | |
| (949) 253-4627 |
| Full Name | Footprints Behavior Interventions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11037 Warner Ave # 339, Fountain Valley, California |
| Authorized Official Name and Position | Stacy Sinon (REGISTERED BEHAVIOR TECHNICIAN) |
| Authorized Official Contact | 9288990286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints Behavior Interventions 11037 Warner Ave # 339 Fountain Valley CA 92708-4007 Ph: (800) 273-4292 | Footprints Behavior Interventions 11037 Warner Ave # 339 Fountain Valley CA 92708-4007 Ph: (800) 273-4292 |
| NPI Number | 1770004830 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770004830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1620713 (Arizona) | Primary |
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