| Lively Behavioral Solutions Llc | |
|
8442 Reilly Dr Huntington Beach CA 92646 | |
| (513) 504-9466 | |
| (949) 607-2963 |
| Full Name | Lively Behavioral Solutions Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8442 Reilly Dr, Huntington Beach, California |
| Authorized Official Name and Position | Gabriella Joy Nelson (CEO) |
| Authorized Official Contact | 6613001272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lively Behavioral Solutions Llc 8442 Reilly Dr Huntington Beach CA 92646 Ph: (513) 504-9466 | Lively Behavioral Solutions Llc 8442 Reilly Dr Huntington Beach CA 92646 Ph: (513) 504-9466 |
| NPI Number | 1255062147 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 03/14/2024 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255062147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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