| Its Behavioral | |
|
3230 Orange Dr Camarillo CA 93010-1322 | |
| (805) 407-4533 | |
| Not Available |
| Full Name | Its Behavioral |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3230 Orange Dr, Camarillo, California |
| Authorized Official Name and Position | Jena Mehrotra (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8054074533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Its Behavioral 3230 Orange Dr Camarillo CA 93010-1322 Ph: (805) 407-4533 | Its Behavioral 3230 Orange Dr Camarillo CA 93010-1322 Ph: (805) 407-4533 |
| NPI Number | 1407368822 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 10/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407368822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-24322 (* (Not Available)) | Primary |
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