| Proof Positive Aba Therapies | |
|
1111 Baker St Costa Mesa CA 92626-4138 | |
| (949) 910-6767 | |
| Not Available |
| Full Name | Proof Positive Aba Therapies |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1111 Baker St, Costa Mesa, California |
| Authorized Official Name and Position | Brianne Guerra (CREDENTIALING ASSISTANT) |
| Authorized Official Contact | 8182416780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proof Positive Aba Therapies 505 N Brand Blvd Ste 1000 Glendale CA 91203-3924 Ph: (818) 241-6780 | Proof Positive Aba Therapies 1111 Baker St Costa Mesa CA 92626-4138 Ph: (949) 910-6767 |
| NPI Number | 1366976003 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366976003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-25523 (California) | Primary |
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