| Imagine Behavioral Services Ca, Llc | |
|
19300 S Hamilton Ave #130 Gardena CA 90248-4400 | |
| (310) 327-7842 | |
| Not Available |
| Full Name | Imagine Behavioral Services Ca, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19300 S Hamilton Ave, Gardena, California |
| Authorized Official Name and Position | Quinanna Robins (VP OF AUTISM & BEHAVIORAL SERVICES) |
| Authorized Official Contact | 5093282740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Behavioral Services Ca, Llc 5709 W Sunset Hwy Suite 100 Spokane WA 99224-6005 Ph: () - | Imagine Behavioral Services Ca, Llc 19300 S Hamilton Ave #130 Gardena CA 90248-4400 Ph: (310) 327-7842 |
| NPI Number | 1821480013 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821480013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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