| Institute For Behavioral Health | |
|
12223 Custer St Yucaipa CA 92399-4450 | |
| (760) 590-5764 | |
| Not Available |
| Full Name | Institute For Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12223 Custer St, Yucaipa, California |
| Authorized Official Name and Position | Loni Jean Kirk (CASE SUPERIVISOR) |
| Authorized Official Contact | 7605905764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Behavioral Health 12223 Custer St Yucaipa CA 92399-4450 Ph: (760) 590-5764 | Institute For Behavioral Health 12223 Custer St Yucaipa CA 92399-4450 Ph: (760) 590-5764 |
| NPI Number | 1205201209 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205201209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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