Sage Behavior Services | |
1400 N Harbor Blvd Ste 130-124 Fullerton CA 92835-4126 | |
(714) 773-0077 | |
(714) 773-0067 |
Full Name | Sage Behavior Services |
---|---|
Speciality | Behavior Analyst |
Location | 1400 N Harbor Blvd Ste 130-124, Fullerton, California |
Authorized Official Name and Position | Kareem Alexander Khouri (CFO) |
Authorized Official Contact | 7147730077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sage Behavior Services 1400 N Harbor Blvd Ste 130-124 Fullerton CA 92835-4126 Ph: (714) 773-0077 | Sage Behavior Services 1400 N Harbor Blvd Ste 130-124 Fullerton CA 92835-4126 Ph: (714) 773-0077 |
NPI Number | 1598998460 |
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Provider Enumeration Date | 08/26/2009 |
Last Update Date | 08/26/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598998460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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