| Footprints Behavioral Interventions | |
|
11037 Warner Ave Suite 339 Fountain Valley CA 92708-4007 | |
| (800) 273-4292 | |
| (949) 253-4627 |
| Full Name | Footprints Behavioral Interventions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11037 Warner Ave, Fountain Valley, California |
| Authorized Official Name and Position | Lin Connor (PROVIDER RELATIONS COORDINATOR) |
| Authorized Official Contact | 50329853589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints Behavioral Interventions 11037 Warner Ave Suite 339 Fountain Valley CA 92708-4007 Ph: (800) 273-4292 | Footprints Behavioral Interventions 11037 Warner Ave Suite 339 Fountain Valley CA 92708-4007 Ph: (800) 273-4292 |
| NPI Number | 1851710479 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 04/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851710479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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