Machado Behavioral Consulting | |
3136 Vancouver Ave San Diego CA 92104-4835 | |
(619) 990-2611 | |
(619) 900-7779 |
Full Name | Machado Behavioral Consulting |
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Speciality | Behavior Analyst |
Location | 3136 Vancouver Ave, San Diego, California |
Authorized Official Name and Position | Amy J Machado (OWNER) |
Authorized Official Contact | 6199902611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Machado Behavioral Consulting Po Box 633083 San Diego CA 92163-3083 Ph: (619) 990-2611 | Machado Behavioral Consulting 3136 Vancouver Ave San Diego CA 92104-4835 Ph: (619) 990-2611 |
NPI Number | 1780129270 |
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Provider Enumeration Date | 12/20/2016 |
Last Update Date | 03/24/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780129270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-12-10466 (California) | Primary |
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