| Key Essentials To Behavior Management, Corp | |
|
9333 Baseline Rd Ste 290 Rancho Cucamonga CA 91730-1300 | |
| (909) 320-8300 | |
| (951) 346-3640 |
| Full Name | Key Essentials To Behavior Management, Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9333 Baseline Rd Ste 290, Rancho Cucamonga, California |
| Authorized Official Name and Position | Lakeysha L Cobbs-hayes (CEO) |
| Authorized Official Contact | 9093041353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Essentials To Behavior Management, Corp 9333 Baseline Rd Ste 290 Rancho Cucamonga CA 91730-1300 Ph: (909) 320-8300 | Key Essentials To Behavior Management, Corp 9333 Baseline Rd Ste 290 Rancho Cucamonga CA 91730-1300 Ph: (909) 320-8300 |
| NPI Number | 1639680481 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 11/16/2021 |
| Certification Date | 11/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639680481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-23436 (California) | Primary |
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