| La Jolla Behavior Services Llc | |
|
1130 Wall St # 514 La Jolla CA 92037-4531 | |
| (858) 568-0544 | |
| Not Available |
| Full Name | La Jolla Behavior Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1130 Wall St # 514, La Jolla, California |
| Authorized Official Name and Position | Diana Franco (CEO) |
| Authorized Official Contact | 8585680544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Jolla Behavior Services Llc 1130 Wall St # 514 La Jolla CA 92037-4531 Ph: () - | La Jolla Behavior Services Llc 1130 Wall St # 514 La Jolla CA 92037-4531 Ph: (858) 568-0544 |
| NPI Number | 1427891050 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427891050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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