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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