Learning Institute For Functional Education (l.i.f.e.) | |
1620 N Carpenter Rd Ste C19 Modesto CA 95351-1156 | |
(209) 900-3722 | |
(209) 859-9005 |
Full Name | Learning Institute For Functional Education (l.i.f.e.) |
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Speciality | Behavior Analyst |
Location | 1620 N Carpenter Rd Ste C19, Modesto, California |
Authorized Official Name and Position | Terra Dawn Oehler (CEO) |
Authorized Official Contact | 2099003722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Learning Institute For Functional Education (l.i.f.e.) 1620 N Carpenter Rd Ste C19 Modesto CA 95351-1156 Ph: (209) 900-3722 | Learning Institute For Functional Education (l.i.f.e.) 1620 N Carpenter Rd Ste C19 Modesto CA 95351-1156 Ph: (209) 900-3722 |
NPI Number | 1184128571 |
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Provider Enumeration Date | 03/20/2018 |
Last Update Date | 11/19/2024 |
Certification Date | 11/19/2024 |
Identifier | Type | State | Issuer |
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1184128571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (California) | Primary |
252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |