| Maverick Education & Behavioral Solutions, Llc | |
|
7949 California Ave Ste 14 Fair Oaks CA 95628-7156 | |
| (916) 863-7949 | |
| Not Available |
| Full Name | Maverick Education & Behavioral Solutions, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7949 California Ave Ste 14, Fair Oaks, California |
| Authorized Official Name and Position | Dawn Montgomery (CEO/OWNER) |
| Authorized Official Contact | 9169837949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maverick Education & Behavioral Solutions, Llc 7949 California Ave Ste 14 Fair Oaks CA 95628-7156 Ph: (916) 863-7949 | Maverick Education & Behavioral Solutions, Llc 7949 California Ave Ste 14 Fair Oaks CA 95628-7156 Ph: (916) 863-7949 |
| NPI Number | 1528332012 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 02/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528332012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1000030 (California) | Primary |
| 252Y00000X | Early Intervention Provider Agency | 1000030 (California) | Secondary |
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