Novo Behavioral Services | |
429 E Amerige Ave Fullerton CA 92832-2005 | |
(805) 907-8779 | |
Not Available |
Full Name | Novo Behavioral Services |
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Speciality | Community/behavioral Health |
Location | 429 E Amerige Ave, Fullerton, California |
Authorized Official Name and Position | Gabriel Lee Leon (CHIEF EXECTIVE OFFICER) |
Authorized Official Contact | 8059078779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Novo Behavioral Services 429 E Amerige Ave Fullerton CA 92832-2005 Ph: (805) 907-8779 | Novo Behavioral Services 429 E Amerige Ave Fullerton CA 92832-2005 Ph: (805) 907-8779 |
NPI Number | 1538551056 |
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Provider Enumeration Date | 02/20/2015 |
Last Update Date | 02/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538551056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1-14-15578 (California) | Primary |
252Y00000X | Early Intervention Provider Agency | 1-14-15578 (California) | Secondary |
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