| Ppp Client Driven Llc | |
|
2063 S Spruce St Santa Ana CA 92704-4833 | |
| (657) 456-8558 | |
| Not Available |
| Full Name | Ppp Client Driven Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2063 S Spruce St, Santa Ana, California |
| Authorized Official Name and Position | Bao Tran Le (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6574568558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppp Client Driven Llc 2063 S Spruce St Santa Ana CA 92704-4833 Ph: (657) 456-8558 | Ppp Client Driven Llc 2063 S Spruce St Santa Ana CA 92704-4833 Ph: (657) 456-8558 |
| NPI Number | 1891283305 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891283305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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