| Ohana Behavioral Group | |
|
17777 Center Court Dr N Ste 600 Cerritos CA 90703-8575 | |
| (562) 246-5386 | |
| Not Available |
| Full Name | Ohana Behavioral Group |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17777 Center Court Dr N Ste 600, Cerritos, California |
| Authorized Official Name and Position | Anthony J Rodriguez (CLINICIAN) |
| Authorized Official Contact | 3103100493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohana Behavioral Group 17777 Center Court Dr N Ste 600 Cerritos CA 90703-8575 Ph: (562) 246-5386 | Ohana Behavioral Group 17777 Center Court Dr N Ste 600 Cerritos CA 90703-8575 Ph: (562) 246-5386 |
| NPI Number | 1891305025 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891305025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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