| Innovative Behavior Resources Inc | |
|
2323 Vennie Ct Santa Rosa CA 95401-4998 | |
| (707) 303-6266 | |
| Not Available |
| Full Name | Innovative Behavior Resources Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2323 Vennie Ct, Santa Rosa, California |
| Authorized Official Name and Position | Ashleigh Reynolds (CEO) |
| Authorized Official Contact | 7073036266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Behavior Resources Inc Po Box 104 Fulton CA 95439-0104 Ph: (707) 303-6266 | Innovative Behavior Resources Inc 2323 Vennie Ct Santa Rosa CA 95401-4998 Ph: (707) 303-6266 |
| NPI Number | 1245876226 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245876226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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