| San Diego Applied Behavior Analysis , Llc | |
|
2460 Valley Mill Rd # 2460 El Cajon CA 92020-1040 | |
| (619) 787-3882 | |
| Not Available |
| Full Name | San Diego Applied Behavior Analysis , Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2460 Valley Mill Rd # 2460, El Cajon, California |
| Authorized Official Name and Position | Kristian M Giordano (MANAGING MEMBERS) |
| Authorized Official Contact | 6197873882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Applied Behavior Analysis , Llc 8030 La Mesa Blvd Ste 25 La Mesa CA 91942-0335 Ph: (619) 787-3882 | San Diego Applied Behavior Analysis , Llc 2460 Valley Mill Rd # 2460 El Cajon CA 92020-1040 Ph: (619) 787-3882 |
| NPI Number | 1598394223 |
|---|---|
| Provider Enumeration Date | 04/04/2020 |
| Last Update Date | 04/04/2020 |
| Certification Date | 04/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598394223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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