| Sierra Madre Learning Center Total Programs, Llc | |
|
370 W Sierra Madre Blvd Ste B Sierra Madre CA 91024-2714 | |
| (626) 355-5160 | |
| (626) 355-5173 |
| Full Name | Sierra Madre Learning Center Total Programs, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 370 W Sierra Madre Blvd Ste B, Sierra Madre, California |
| Authorized Official Name and Position | Sean Adam Surfas (CEO) |
| Authorized Official Contact | 6263555160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Madre Learning Center Total Programs, Llc 370 W Sierra Madre Blvd Ste B Sierra Madre CA 91024-2714 Ph: (626) 355-5160 | Sierra Madre Learning Center Total Programs, Llc 370 W Sierra Madre Blvd Ste B Sierra Madre CA 91024-2714 Ph: (626) 355-5160 |
| NPI Number | 1578829370 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578829370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-06-3013 (California) | Primary |
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Sierra Madre Learning Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 W Sierra Madre Blvd, Suite B, Sierra Madre, CA 91024 Phone: 626-355-5160 Fax: 626-355-5173 | |
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