| Sstars | |
|
13768 Meadow View Ln Yucaipa CA 92399-7006 | |
| (323) 475-7407 | |
| (323) 475-7407 |
| Full Name | Sstars |
|---|---|
| Speciality | Behavior Technician |
| Location | 13768 Meadow View Ln, Yucaipa, California |
| Authorized Official Name and Position | Gwenique Williams (BEHAVIORIAL HEALTH THERAPIST, CTO) |
| Authorized Official Contact | 3234757407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sstars 325 N Maple Dr Unit 2076 Beverly Hills CA 90213-4769 Ph: (323) 475-7407 | Sstars 13768 Meadow View Ln Yucaipa CA 92399-7006 Ph: (323) 475-7407 |
| NPI Number | 1407343122 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407343122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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