| Functionfirstaba | |
|
861 Glencliff Street #62 La Habra CA 90631 | |
| (323) 537-3165 | |
| Not Available |
| Full Name | Functionfirstaba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 861 Glencliff Street, La Habra, California |
| Authorized Official Name and Position | Patricia Mora (BCBA) |
| Authorized Official Contact | 3238190218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functionfirstaba 2571 Saturn Ave Huntington Park CA 90255-4075 Ph: () - | Functionfirstaba 861 Glencliff Street #62 La Habra CA 90631 Ph: (323) 537-3165 |
| NPI Number | 1760217673 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 09/03/2024 |
| Certification Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760217673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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