| Leading Behavioral Change Llc | |
|
1724 Driftwood Dr El Centro CA 92243-4160 | |
| (760) 222-2283 | |
| Not Available |
| Full Name | Leading Behavioral Change Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1724 Driftwood Dr, El Centro, California |
| Authorized Official Name and Position | Martin Gabriel Lemus (BEHAVIOR ANALYST) |
| Authorized Official Contact | 7605540366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leading Behavioral Change Llc 1724 Driftwood Dr El Centro CA 92243-4160 Ph: (760) 222-2283 | Leading Behavioral Change Llc 1724 Driftwood Dr El Centro CA 92243-4160 Ph: (760) 222-2283 |
| NPI Number | 1083375851 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083375851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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