| Novo Behavioral Services Llc | |
|
2007 S Mountain Ave Unit 32 Ontario CA 91762-6113 | |
| (805) 907-8779 | |
| (190) 925-9289 |
| Full Name | Novo Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2007 S Mountain Ave Unit 32, Ontario, California |
| Authorized Official Name and Position | Gabriel Lee Leon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8059078779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novo Behavioral Services Llc 2007 S Mountain Ave Unit 32 Ontario CA 91762-6113 Ph: (805) 907-8779 | Novo Behavioral Services Llc 2007 S Mountain Ave Unit 32 Ontario CA 91762-6113 Ph: (805) 907-8779 |
| NPI Number | 1972995959 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 12/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972995959 | NPI | - | NPPES |
| 11415578 | Other | CA | BCBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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