| N.c. Behavioral Services, Llc | |
|
1700 E Florida Ave Hemet CA 92544-4679 | |
| (951) 357-6959 | |
| (951) 356-2115 |
| Full Name | N.c. Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1700 E Florida Ave, Hemet, California |
| Authorized Official Name and Position | Nachole Caldwell (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9512979505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N.c. Behavioral Services, Llc Po Box 2686 Hemet CA 92546-2686 Ph: (951) 357-6959 | N.c. Behavioral Services, Llc 1700 E Florida Ave Hemet CA 92544-4679 Ph: (951) 357-6959 |
| NPI Number | 1578060562 |
|---|---|
| Provider Enumeration Date | 04/07/2018 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578060562 | NPI | - | NPPES |
| 1396133005 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-9724 (California) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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